Ymca Charles Bell Afterschool

10A NCAC 09 .0701 · Violation

Name of Operation: YMCA CHARLES BELL AFTERSCHOOL Facility ID: 11000679 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 4/28/2026 Number Present: 21 Completed Date: 4/28/2026 Age: From 5 To 11 Total Minutes: 210 Time In: 01:30 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance with rated license assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Sora Dowty, Program Coordinator, during the visit. A signed copy of the visit summary was emailed to you. S. Dowty was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine percent (89%) as of 4/27/26. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, The Young Men’s Christian Association of WNC Inc., is current/active as of 4/27/26. Permit type – Five (5) star license issued 12/4/25. Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets reduced ratios, school age only. The last annual compliance visit was conducted on 5/14/25. The last fire drill was practiced on 3/3/26. The last shelter-in-place drill was practiced on 2/26/26. The Emergency Medical Care plan was posted and current. The approved curriculum is Funny Daffers. The program is approved to provide transportation. Currently, no children are transported by the facility on a regular basis. YMCA vehicles are not maintained on site. I reviewed four (4) children’s files, one (1) new staff file and one (1) existing staff file. The one (1) new staff was visiting from another YMCA site and was present as a substitute provider for the regular Group Leader listed on the staff and training worksheet. Upon arrival, I met with Delaney Burke, Administrator, to review staff and children’s files via TEAMS. Upon entering the facility, I was greeted by S. Dowty. Children entered the program and began independent center play. Children engaged in pretend play with dolls and a dollhouse, played age-appropriate board games, made collages with scissors and paper, built small structures with interlocking blocks and worked on homework. Children then transitioned to wash hands before snack. Snack today consisted of graham crackers, applesauce, jerky, sunflower seeds and sunbutter. Interactions were positive and nurturing. Supervision was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff, hire date 9/16/25, had a medical report on file dated 3/11/26. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) staff, hire date 9/16/25, had a TB screening on file dated 3/11/26. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One (1) staff, hire date 9/16/25, had a First Aid training certification that was not received from an approved trainer. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One (1) staff, hire date 9/16/25, had a CPR training certification that was not received from an approved trainer. .1102(d) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. One (1) group leader was not connected to the facility in the ABCMS provider portal. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: Item #1032 and #1033: We reviewed rule .0701(a) that states a medical report must be on file for staff prior to employment and a TB test or screening must be on file on or before the first day of work. In your letter of compliance, please provide a plan that indicates how you will ensure staff provide a medical report prior to employment and a TB test or screening on or before the first day of work. Item #1048 and #1049: The staff’s training was provided by “National CPR Foundation”. This trainer is not listed as an approved trainer on the Division’s website. A copy of the list of approved trainers was provided to you today in the email containing this visit summary. We discussed the staff member is registered for an approved course on 5/13/26. Please note, this is past the due date for compliance from today’s visit. Plan to locate an earlier training for this staff so that these items are corrected within the required timeline. We discussed violations relating to the safety of children such as CPR/First Aid trained staff, may not be eligible for an extension. Therefore, if the violation is not corrected by 5/12/26, a follow-up visit may be conducted and repeat violations may be cited. As a reminder, back-to-back violations regarding CPR/First Aid may result in an Administrative Action recommendation. To reach compliance with this item, the one (1) staff must receive CPR/First Aid Training from an approved trainer. In your letter of compliance, please include a statement that indicates the staff has received approved training and that the certificate is on file. If there is a delay in receiving the certificate, plan to obtain documentation from the trainer that indicates the staff member has completed the training. Item #1805: To reach compliance with this item, the one (1) group leader, C. Bennett, must be connected to the facility in the ABCMS Provider Portal. In your letter of compliance, please include a statement that indicates the group leader has been added to the facility in the ABCMS Provider Portal. I will then verify their connection on the ABCMS Provider Portal. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/12/26. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminder: Plan to conduct a fire drill by 4/30/26. Plan to conduct a shelter-in-place or lockdown drill by 5/31/26. Rated License: The facility elects to participate in the Quality Rating and Improvement System by utilizing Pathway 2: Classroom and Instructional Quality Pathway. I received the Application of Assessment for a Rated License on 4/14/26 from Delaney Burke, Administrator. The facility earns a five (5) star license based on the following: Staff/Child Ratio and Enhanced Space: The facility currently meets the reduced, enhanced staff child ratios in rule .3209(b). The facility elects to follow the enhanced space requirements outlined in rule .3210(1). Education: The Administrator meets the five-star education requirements outlined in rule .3211 (e)(3). The Program Coordinator meets three-star requirements outlined in rule .3214(c)(2). The Group Leader meets the five-star education requirements outlined in rule. 3215 (e)(1). Fifty percent (50%) of staff meet the five-star requirements for their position. Education was verified in WORKS on 4/27/26. Family and Community Engagement: The facility meets foundational practices outlined in rule .3219(b). The facility meets options from each category of engagement plus two (2) additional options. The Family and Community Engagement Standards form was provided to me via email on 4/27/26. The family handbook, newsletters, and family survey results were provided to me via email on 4/14/26. The Family and Community Engagement Standards were verified on 4/27/26. Continuous Quality Improvement (CQI): The CQI plan for all staff was provided to me via email on 4/14/26. The CQI plan for the facility was provided to me via email on 4/14/26. This requirement is met. Curriculum: The facility uses the approved curriculum Funny Daffers. Activities from the curriculum were observed in implementation during the visit today. Delaney Burke, Administrator, completed training for the curriculum on 1/13/26. Coaching and Mentoring or Training: The Administrator plans to receive five (5) hours of coaching or mentoring from Jon Williams, Statewide School Age Project Manager with Southwestern Child Development Commission, according to rule .3205(f)(10)(a). Recognition of Quality Initiatives: The facility has requested to receive Recognition for the following Quality Initiatives: -The operator of a child care facility participates in the T.E.A.C.H. program or other education initiative that supports employed staff that want to enroll in or who are enrolled in college coursework. - A child care facility operator compensates staff members for the time spent completing professional development activities. - A child care facility operator compensates staff members for the cost of professional development activities. - A center administrator has at least 10 years of child care administrative work experience in a licensed child care facility. - A child care facility offers at least two mental health supports such as training offered on-site, paid time off for wellness, mental health coverage as part of health benefits or assistance in obtaining access to other services as requested. - A child care center pays for costs associated with enrolling in and completing early childhood education or child development coursework. Evidence was provided for the Recognition of Quality Initiatives listed above via email on 4/14/26. Based on verification of requirements in the classroom and instructional quality pathway, .3205 section of the child care rules, a five-star license has been earned. After final review, a different star level may be determined. Any discrepancies would be reviewed with you. If additional information is needed, you will be contacted. A rated license is evaluated every three years and the facility will be due again for a rated license assessment by April 2029. At each annual compliance visit, rated license components chosen will be monitored for meeting compliance according to 10A NCAC 09 .3222 MAINTAINING THE STAR RATING We discussed all violations must be corrected before the Rated License can be processed. Child Maltreatment Training: As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. WORKS: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. Health and Safety Training: It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: YMCA CHARLES BELL AFTERSCHOOL Facility ID: 11000679 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 4/28/2026 Number Present: 21 Completed Date: 4/28/2026 Age: From 5 To 11 Total Minutes: 210 Time In: 01:30 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance with rated license assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Sora Dowty, Program Coordinator, during the visit. A signed copy of the visit summary was emailed to you. S. Dowty was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine percent (89%) as of 4/27/26. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, The Young Men’s Christian Association of WNC Inc., is current/active as of 4/27/26. Permit type – Five (5) star license issued 12/4/25. Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets reduced ratios, school age only. The last annual compliance visit was conducted on 5/14/25. The last fire drill was practiced on 3/3/26. The last shelter-in-place drill was practiced on 2/26/26. The Emergency Medical Care plan was posted and current. The approved curriculum is Funny Daffers. The program is approved to provide transportation. Currently, no children are transported by the facility on a regular basis. YMCA vehicles are not maintained on site. I reviewed four (4) children’s files, one (1) new staff file and one (1) existing staff file. The one (1) new staff was visiting from another YMCA site and was present as a substitute provider for the regular Group Leader listed on the staff and training worksheet. Upon arrival, I met with Delaney Burke, Administrator, to review staff and children’s files via TEAMS. Upon entering the facility, I was greeted by S. Dowty. Children entered the program and began independent center play. Children engaged in pretend play with dolls and a dollhouse, played age-appropriate board games, made collages with scissors and paper, built small structures with interlocking blocks and worked on homework. Children then transitioned to wash hands before snack. Snack today consisted of graham crackers, applesauce, jerky, sunflower seeds and sunbutter. Interactions were positive and nurturing. Supervision was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff, hire date 9/16/25, had a medical report on file dated 3/11/26. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) staff, hire date 9/16/25, had a TB screening on file dated 3/11/26. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One (1) staff, hire date 9/16/25, had a First Aid training certification that was not received from an approved trainer. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One (1) staff, hire date 9/16/25, had a CPR training certification that was not received from an approved trainer. .1102(d) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. One (1) group leader was not connected to the facility in the ABCMS provider portal. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: Item #1032 and #1033: We reviewed rule .0701(a) that states a medical report must be on file for staff prior to employment and a TB test or screening must be on file on or before the first day of work. In your letter of compliance, please provide a plan that indicates how you will ensure staff provide a medical report prior to employment and a TB test or screening on or before the first day of work. Item #1048 and #1049: The staff’s training was provided by “National CPR Foundation”. This trainer is not listed as an approved trainer on the Division’s website. A copy of the list of approved trainers was provided to you today in the email containing this visit summary. We discussed the staff member is registered for an approved course on 5/13/26. Please note, this is past the due date for compliance from today’s visit. Plan to locate an earlier training for this staff so that these items are corrected within the required timeline. We discussed violations relating to the safety of children such as CPR/First Aid trained staff, may not be eligible for an extension. Therefore, if the violation is not corrected by 5/12/26, a follow-up visit may be conducted and repeat violations may be cited. As a reminder, back-to-back violations regarding CPR/First Aid may result in an Administrative Action recommendation. To reach compliance with this item, the one (1) staff must receive CPR/First Aid Training from an approved trainer. In your letter of compliance, please include a statement that indicates the staff has received approved training and that the certificate is on file. If there is a delay in receiving the certificate, plan to obtain documentation from the trainer that indicates the staff member has completed the training. Item #1805: To reach compliance with this item, the one (1) group leader, C. Bennett, must be connected to the facility in the ABCMS Provider Portal. In your letter of compliance, please include a statement that indicates the group leader has been added to the facility in the ABCMS Provider Portal. I will then verify their connection on the ABCMS Provider Portal. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/12/26. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminder: Plan to conduct a fire drill by 4/30/26. Plan to conduct a shelter-in-place or lockdown drill by 5/31/26. Rated License: The facility elects to participate in the Quality Rating and Improvement System by utilizing Pathway 2: Classroom and Instructional Quality Pathway. I received the Application of Assessment for a Rated License on 4/14/26 from Delaney Burke, Administrator. The facility earns a five (5) star license based on the following: Staff/Child Ratio and Enhanced Space: The facility currently meets the reduced, enhanced staff child ratios in rule .3209(b). The facility elects to follow the enhanced space requirements outlined in rule .3210(1). Education: The Administrator meets the five-star education requirements outlined in rule .3211 (e)(3). The Program Coordinator meets three-star requirements outlined in rule .3214(c)(2). The Group Leader meets the five-star education requirements outlined in rule. 3215 (e)(1). Fifty percent (50%) of staff meet the five-star requirements for their position. Education was verified in WORKS on 4/27/26. Family and Community Engagement: The facility meets foundational practices outlined in rule .3219(b). The facility meets options from each category of engagement plus two (2) additional options. The Family and Community Engagement Standards form was provided to me via email on 4/27/26. The family handbook, newsletters, and family survey results were provided to me via email on 4/14/26. The Family and Community Engagement Standards were verified on 4/27/26. Continuous Quality Improvement (CQI): The CQI plan for all staff was provided to me via email on 4/14/26. The CQI plan for the facility was provided to me via email on 4/14/26. This requirement is met. Curriculum: The facility uses the approved curriculum Funny Daffers. Activities from the curriculum were observed in implementation during the visit today. Delaney Burke, Administrator, completed training for the curriculum on 1/13/26. Coaching and Mentoring or Training: The Administrator plans to receive five (5) hours of coaching or mentoring from Jon Williams, Statewide School Age Project Manager with Southwestern Child Development Commission, according to rule .3205(f)(10)(a). Recognition of Quality Initiatives: The facility has requested to receive Recognition for the following Quality Initiatives: -The operator of a child care facility participates in the T.E.A.C.H. program or other education initiative that supports employed staff that want to enroll in or who are enrolled in college coursework. - A child care facility operator compensates staff members for the time spent completing professional development activities. - A child care facility operator compensates staff members for the cost of professional development activities. - A center administrator has at least 10 years of child care administrative work experience in a licensed child care facility. - A child care facility offers at least two mental health supports such as training offered on-site, paid time off for wellness, mental health coverage as part of health benefits or assistance in obtaining access to other services as requested. - A child care center pays for costs associated with enrolling in and completing early childhood education or child development coursework. Evidence was provided for the Recognition of Quality Initiatives listed above via email on 4/14/26. Based on verification of requirements in the classroom and instructional quality pathway, .3205 section of the child care rules, a five-star license has been earned. After final review, a different star level may be determined. Any discrepancies would be reviewed with you. If additional information is needed, you will be contacted. A rated license is evaluated every three years and the facility will be due again for a rated license assessment by April 2029. At each annual compliance visit, rated license components chosen will be monitored for meeting compliance according to 10A NCAC 09 .3222 MAINTAINING THE STAR RATING We discussed all violations must be corrected before the Rated License can be processed. Child Maltreatment Training: As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. WORKS: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. Health and Safety Training: It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: YMCA CHARLES BELL AFTERSCHOOL Facility ID: 11000679 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 4/28/2026 Number Present: 21 Completed Date: 4/28/2026 Age: From 5 To 11 Total Minutes: 210 Time In: 01:30 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance with rated license assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Sora Dowty, Program Coordinator, during the visit. A signed copy of the visit summary was emailed to you. S. Dowty was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine percent (89%) as of 4/27/26. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, The Young Men’s Christian Association of WNC Inc., is current/active as of 4/27/26. Permit type – Five (5) star license issued 12/4/25. Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets reduced ratios, school age only. The last annual compliance visit was conducted on 5/14/25. The last fire drill was practiced on 3/3/26. The last shelter-in-place drill was practiced on 2/26/26. The Emergency Medical Care plan was posted and current. The approved curriculum is Funny Daffers. The program is approved to provide transportation. Currently, no children are transported by the facility on a regular basis. YMCA vehicles are not maintained on site. I reviewed four (4) children’s files, one (1) new staff file and one (1) existing staff file. The one (1) new staff was visiting from another YMCA site and was present as a substitute provider for the regular Group Leader listed on the staff and training worksheet. Upon arrival, I met with Delaney Burke, Administrator, to review staff and children’s files via TEAMS. Upon entering the facility, I was greeted by S. Dowty. Children entered the program and began independent center play. Children engaged in pretend play with dolls and a dollhouse, played age-appropriate board games, made collages with scissors and paper, built small structures with interlocking blocks and worked on homework. Children then transitioned to wash hands before snack. Snack today consisted of graham crackers, applesauce, jerky, sunflower seeds and sunbutter. Interactions were positive and nurturing. Supervision was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff, hire date 9/16/25, had a medical report on file dated 3/11/26. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) staff, hire date 9/16/25, had a TB screening on file dated 3/11/26. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One (1) staff, hire date 9/16/25, had a First Aid training certification that was not received from an approved trainer. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One (1) staff, hire date 9/16/25, had a CPR training certification that was not received from an approved trainer. .1102(d) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. One (1) group leader was not connected to the facility in the ABCMS provider portal. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: Item #1032 and #1033: We reviewed rule .0701(a) that states a medical report must be on file for staff prior to employment and a TB test or screening must be on file on or before the first day of work. In your letter of compliance, please provide a plan that indicates how you will ensure staff provide a medical report prior to employment and a TB test or screening on or before the first day of work. Item #1048 and #1049: The staff’s training was provided by “National CPR Foundation”. This trainer is not listed as an approved trainer on the Division’s website. A copy of the list of approved trainers was provided to you today in the email containing this visit summary. We discussed the staff member is registered for an approved course on 5/13/26. Please note, this is past the due date for compliance from today’s visit. Plan to locate an earlier training for this staff so that these items are corrected within the required timeline. We discussed violations relating to the safety of children such as CPR/First Aid trained staff, may not be eligible for an extension. Therefore, if the violation is not corrected by 5/12/26, a follow-up visit may be conducted and repeat violations may be cited. As a reminder, back-to-back violations regarding CPR/First Aid may result in an Administrative Action recommendation. To reach compliance with this item, the one (1) staff must receive CPR/First Aid Training from an approved trainer. In your letter of compliance, please include a statement that indicates the staff has received approved training and that the certificate is on file. If there is a delay in receiving the certificate, plan to obtain documentation from the trainer that indicates the staff member has completed the training. Item #1805: To reach compliance with this item, the one (1) group leader, C. Bennett, must be connected to the facility in the ABCMS Provider Portal. In your letter of compliance, please include a statement that indicates the group leader has been added to the facility in the ABCMS Provider Portal. I will then verify their connection on the ABCMS Provider Portal. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/12/26. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminder: Plan to conduct a fire drill by 4/30/26. Plan to conduct a shelter-in-place or lockdown drill by 5/31/26. Rated License: The facility elects to participate in the Quality Rating and Improvement System by utilizing Pathway 2: Classroom and Instructional Quality Pathway. I received the Application of Assessment for a Rated License on 4/14/26 from Delaney Burke, Administrator. The facility earns a five (5) star license based on the following: Staff/Child Ratio and Enhanced Space: The facility currently meets the reduced, enhanced staff child ratios in rule .3209(b). The facility elects to follow the enhanced space requirements outlined in rule .3210(1). Education: The Administrator meets the five-star education requirements outlined in rule .3211 (e)(3). The Program Coordinator meets three-star requirements outlined in rule .3214(c)(2). The Group Leader meets the five-star education requirements outlined in rule. 3215 (e)(1). Fifty percent (50%) of staff meet the five-star requirements for their position. Education was verified in WORKS on 4/27/26. Family and Community Engagement: The facility meets foundational practices outlined in rule .3219(b). The facility meets options from each category of engagement plus two (2) additional options. The Family and Community Engagement Standards form was provided to me via email on 4/27/26. The family handbook, newsletters, and family survey results were provided to me via email on 4/14/26. The Family and Community Engagement Standards were verified on 4/27/26. Continuous Quality Improvement (CQI): The CQI plan for all staff was provided to me via email on 4/14/26. The CQI plan for the facility was provided to me via email on 4/14/26. This requirement is met. Curriculum: The facility uses the approved curriculum Funny Daffers. Activities from the curriculum were observed in implementation during the visit today. Delaney Burke, Administrator, completed training for the curriculum on 1/13/26. Coaching and Mentoring or Training: The Administrator plans to receive five (5) hours of coaching or mentoring from Jon Williams, Statewide School Age Project Manager with Southwestern Child Development Commission, according to rule .3205(f)(10)(a). Recognition of Quality Initiatives: The facility has requested to receive Recognition for the following Quality Initiatives: -The operator of a child care facility participates in the T.E.A.C.H. program or other education initiative that supports employed staff that want to enroll in or who are enrolled in college coursework. - A child care facility operator compensates staff members for the time spent completing professional development activities. - A child care facility operator compensates staff members for the cost of professional development activities. - A center administrator has at least 10 years of child care administrative work experience in a licensed child care facility. - A child care facility offers at least two mental health supports such as training offered on-site, paid time off for wellness, mental health coverage as part of health benefits or assistance in obtaining access to other services as requested. - A child care center pays for costs associated with enrolling in and completing early childhood education or child development coursework. Evidence was provided for the Recognition of Quality Initiatives listed above via email on 4/14/26. Based on verification of requirements in the classroom and instructional quality pathway, .3205 section of the child care rules, a five-star license has been earned. After final review, a different star level may be determined. Any discrepancies would be reviewed with you. If additional information is needed, you will be contacted. A rated license is evaluated every three years and the facility will be due again for a rated license assessment by April 2029. At each annual compliance visit, rated license components chosen will be monitored for meeting compliance according to 10A NCAC 09 .3222 MAINTAINING THE STAR RATING We discussed all violations must be corrected before the Rated License can be processed. Child Maltreatment Training: As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. WORKS: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. Health and Safety Training: It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .3222 · Violation

Name of Operation: YMCA CHARLES BELL AFTERSCHOOL Facility ID: 11000679 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 4/28/2026 Number Present: 21 Completed Date: 4/28/2026 Age: From 5 To 11 Total Minutes: 210 Time In: 01:30 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance with rated license assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Sora Dowty, Program Coordinator, during the visit. A signed copy of the visit summary was emailed to you. S. Dowty was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine percent (89%) as of 4/27/26. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, The Young Men’s Christian Association of WNC Inc., is current/active as of 4/27/26. Permit type – Five (5) star license issued 12/4/25. Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets reduced ratios, school age only. The last annual compliance visit was conducted on 5/14/25. The last fire drill was practiced on 3/3/26. The last shelter-in-place drill was practiced on 2/26/26. The Emergency Medical Care plan was posted and current. The approved curriculum is Funny Daffers. The program is approved to provide transportation. Currently, no children are transported by the facility on a regular basis. YMCA vehicles are not maintained on site. I reviewed four (4) children’s files, one (1) new staff file and one (1) existing staff file. The one (1) new staff was visiting from another YMCA site and was present as a substitute provider for the regular Group Leader listed on the staff and training worksheet. Upon arrival, I met with Delaney Burke, Administrator, to review staff and children’s files via TEAMS. Upon entering the facility, I was greeted by S. Dowty. Children entered the program and began independent center play. Children engaged in pretend play with dolls and a dollhouse, played age-appropriate board games, made collages with scissors and paper, built small structures with interlocking blocks and worked on homework. Children then transitioned to wash hands before snack. Snack today consisted of graham crackers, applesauce, jerky, sunflower seeds and sunbutter. Interactions were positive and nurturing. Supervision was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff, hire date 9/16/25, had a medical report on file dated 3/11/26. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) staff, hire date 9/16/25, had a TB screening on file dated 3/11/26. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One (1) staff, hire date 9/16/25, had a First Aid training certification that was not received from an approved trainer. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One (1) staff, hire date 9/16/25, had a CPR training certification that was not received from an approved trainer. .1102(d) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. One (1) group leader was not connected to the facility in the ABCMS provider portal. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: Item #1032 and #1033: We reviewed rule .0701(a) that states a medical report must be on file for staff prior to employment and a TB test or screening must be on file on or before the first day of work. In your letter of compliance, please provide a plan that indicates how you will ensure staff provide a medical report prior to employment and a TB test or screening on or before the first day of work. Item #1048 and #1049: The staff’s training was provided by “National CPR Foundation”. This trainer is not listed as an approved trainer on the Division’s website. A copy of the list of approved trainers was provided to you today in the email containing this visit summary. We discussed the staff member is registered for an approved course on 5/13/26. Please note, this is past the due date for compliance from today’s visit. Plan to locate an earlier training for this staff so that these items are corrected within the required timeline. We discussed violations relating to the safety of children such as CPR/First Aid trained staff, may not be eligible for an extension. Therefore, if the violation is not corrected by 5/12/26, a follow-up visit may be conducted and repeat violations may be cited. As a reminder, back-to-back violations regarding CPR/First Aid may result in an Administrative Action recommendation. To reach compliance with this item, the one (1) staff must receive CPR/First Aid Training from an approved trainer. In your letter of compliance, please include a statement that indicates the staff has received approved training and that the certificate is on file. If there is a delay in receiving the certificate, plan to obtain documentation from the trainer that indicates the staff member has completed the training. Item #1805: To reach compliance with this item, the one (1) group leader, C. Bennett, must be connected to the facility in the ABCMS Provider Portal. In your letter of compliance, please include a statement that indicates the group leader has been added to the facility in the ABCMS Provider Portal. I will then verify their connection on the ABCMS Provider Portal. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/12/26. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminder: Plan to conduct a fire drill by 4/30/26. Plan to conduct a shelter-in-place or lockdown drill by 5/31/26. Rated License: The facility elects to participate in the Quality Rating and Improvement System by utilizing Pathway 2: Classroom and Instructional Quality Pathway. I received the Application of Assessment for a Rated License on 4/14/26 from Delaney Burke, Administrator. The facility earns a five (5) star license based on the following: Staff/Child Ratio and Enhanced Space: The facility currently meets the reduced, enhanced staff child ratios in rule .3209(b). The facility elects to follow the enhanced space requirements outlined in rule .3210(1). Education: The Administrator meets the five-star education requirements outlined in rule .3211 (e)(3). The Program Coordinator meets three-star requirements outlined in rule .3214(c)(2). The Group Leader meets the five-star education requirements outlined in rule. 3215 (e)(1). Fifty percent (50%) of staff meet the five-star requirements for their position. Education was verified in WORKS on 4/27/26. Family and Community Engagement: The facility meets foundational practices outlined in rule .3219(b). The facility meets options from each category of engagement plus two (2) additional options. The Family and Community Engagement Standards form was provided to me via email on 4/27/26. The family handbook, newsletters, and family survey results were provided to me via email on 4/14/26. The Family and Community Engagement Standards were verified on 4/27/26. Continuous Quality Improvement (CQI): The CQI plan for all staff was provided to me via email on 4/14/26. The CQI plan for the facility was provided to me via email on 4/14/26. This requirement is met. Curriculum: The facility uses the approved curriculum Funny Daffers. Activities from the curriculum were observed in implementation during the visit today. Delaney Burke, Administrator, completed training for the curriculum on 1/13/26. Coaching and Mentoring or Training: The Administrator plans to receive five (5) hours of coaching or mentoring from Jon Williams, Statewide School Age Project Manager with Southwestern Child Development Commission, according to rule .3205(f)(10)(a). Recognition of Quality Initiatives: The facility has requested to receive Recognition for the following Quality Initiatives: -The operator of a child care facility participates in the T.E.A.C.H. program or other education initiative that supports employed staff that want to enroll in or who are enrolled in college coursework. - A child care facility operator compensates staff members for the time spent completing professional development activities. - A child care facility operator compensates staff members for the cost of professional development activities. - A center administrator has at least 10 years of child care administrative work experience in a licensed child care facility. - A child care facility offers at least two mental health supports such as training offered on-site, paid time off for wellness, mental health coverage as part of health benefits or assistance in obtaining access to other services as requested. - A child care center pays for costs associated with enrolling in and completing early childhood education or child development coursework. Evidence was provided for the Recognition of Quality Initiatives listed above via email on 4/14/26. Based on verification of requirements in the classroom and instructional quality pathway, .3205 section of the child care rules, a five-star license has been earned. After final review, a different star level may be determined. Any discrepancies would be reviewed with you. If additional information is needed, you will be contacted. A rated license is evaluated every three years and the facility will be due again for a rated license assessment by April 2029. At each annual compliance visit, rated license components chosen will be monitored for meeting compliance according to 10A NCAC 09 .3222 MAINTAINING THE STAR RATING We discussed all violations must be corrected before the Rated License can be processed. Child Maltreatment Training: As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. WORKS: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. Health and Safety Training: It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: YMCA CHARLES BELL AFTERSCHOOL Facility ID: 11000679 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 4/28/2026 Number Present: 21 Completed Date: 4/28/2026 Age: From 5 To 11 Total Minutes: 210 Time In: 01:30 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance with rated license assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Sora Dowty, Program Coordinator, during the visit. A signed copy of the visit summary was emailed to you. S. Dowty was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine percent (89%) as of 4/27/26. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, The Young Men’s Christian Association of WNC Inc., is current/active as of 4/27/26. Permit type – Five (5) star license issued 12/4/25. Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets reduced ratios, school age only. The last annual compliance visit was conducted on 5/14/25. The last fire drill was practiced on 3/3/26. The last shelter-in-place drill was practiced on 2/26/26. The Emergency Medical Care plan was posted and current. The approved curriculum is Funny Daffers. The program is approved to provide transportation. Currently, no children are transported by the facility on a regular basis. YMCA vehicles are not maintained on site. I reviewed four (4) children’s files, one (1) new staff file and one (1) existing staff file. The one (1) new staff was visiting from another YMCA site and was present as a substitute provider for the regular Group Leader listed on the staff and training worksheet. Upon arrival, I met with Delaney Burke, Administrator, to review staff and children’s files via TEAMS. Upon entering the facility, I was greeted by S. Dowty. Children entered the program and began independent center play. Children engaged in pretend play with dolls and a dollhouse, played age-appropriate board games, made collages with scissors and paper, built small structures with interlocking blocks and worked on homework. Children then transitioned to wash hands before snack. Snack today consisted of graham crackers, applesauce, jerky, sunflower seeds and sunbutter. Interactions were positive and nurturing. Supervision was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff, hire date 9/16/25, had a medical report on file dated 3/11/26. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) staff, hire date 9/16/25, had a TB screening on file dated 3/11/26. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One (1) staff, hire date 9/16/25, had a First Aid training certification that was not received from an approved trainer. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One (1) staff, hire date 9/16/25, had a CPR training certification that was not received from an approved trainer. .1102(d) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. One (1) group leader was not connected to the facility in the ABCMS provider portal. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: Item #1032 and #1033: We reviewed rule .0701(a) that states a medical report must be on file for staff prior to employment and a TB test or screening must be on file on or before the first day of work. In your letter of compliance, please provide a plan that indicates how you will ensure staff provide a medical report prior to employment and a TB test or screening on or before the first day of work. Item #1048 and #1049: The staff’s training was provided by “National CPR Foundation”. This trainer is not listed as an approved trainer on the Division’s website. A copy of the list of approved trainers was provided to you today in the email containing this visit summary. We discussed the staff member is registered for an approved course on 5/13/26. Please note, this is past the due date for compliance from today’s visit. Plan to locate an earlier training for this staff so that these items are corrected within the required timeline. We discussed violations relating to the safety of children such as CPR/First Aid trained staff, may not be eligible for an extension. Therefore, if the violation is not corrected by 5/12/26, a follow-up visit may be conducted and repeat violations may be cited. As a reminder, back-to-back violations regarding CPR/First Aid may result in an Administrative Action recommendation. To reach compliance with this item, the one (1) staff must receive CPR/First Aid Training from an approved trainer. In your letter of compliance, please include a statement that indicates the staff has received approved training and that the certificate is on file. If there is a delay in receiving the certificate, plan to obtain documentation from the trainer that indicates the staff member has completed the training. Item #1805: To reach compliance with this item, the one (1) group leader, C. Bennett, must be connected to the facility in the ABCMS Provider Portal. In your letter of compliance, please include a statement that indicates the group leader has been added to the facility in the ABCMS Provider Portal. I will then verify their connection on the ABCMS Provider Portal. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/12/26. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminder: Plan to conduct a fire drill by 4/30/26. Plan to conduct a shelter-in-place or lockdown drill by 5/31/26. Rated License: The facility elects to participate in the Quality Rating and Improvement System by utilizing Pathway 2: Classroom and Instructional Quality Pathway. I received the Application of Assessment for a Rated License on 4/14/26 from Delaney Burke, Administrator. The facility earns a five (5) star license based on the following: Staff/Child Ratio and Enhanced Space: The facility currently meets the reduced, enhanced staff child ratios in rule .3209(b). The facility elects to follow the enhanced space requirements outlined in rule .3210(1). Education: The Administrator meets the five-star education requirements outlined in rule .3211 (e)(3). The Program Coordinator meets three-star requirements outlined in rule .3214(c)(2). The Group Leader meets the five-star education requirements outlined in rule. 3215 (e)(1). Fifty percent (50%) of staff meet the five-star requirements for their position. Education was verified in WORKS on 4/27/26. Family and Community Engagement: The facility meets foundational practices outlined in rule .3219(b). The facility meets options from each category of engagement plus two (2) additional options. The Family and Community Engagement Standards form was provided to me via email on 4/27/26. The family handbook, newsletters, and family survey results were provided to me via email on 4/14/26. The Family and Community Engagement Standards were verified on 4/27/26. Continuous Quality Improvement (CQI): The CQI plan for all staff was provided to me via email on 4/14/26. The CQI plan for the facility was provided to me via email on 4/14/26. This requirement is met. Curriculum: The facility uses the approved curriculum Funny Daffers. Activities from the curriculum were observed in implementation during the visit today. Delaney Burke, Administrator, completed training for the curriculum on 1/13/26. Coaching and Mentoring or Training: The Administrator plans to receive five (5) hours of coaching or mentoring from Jon Williams, Statewide School Age Project Manager with Southwestern Child Development Commission, according to rule .3205(f)(10)(a). Recognition of Quality Initiatives: The facility has requested to receive Recognition for the following Quality Initiatives: -The operator of a child care facility participates in the T.E.A.C.H. program or other education initiative that supports employed staff that want to enroll in or who are enrolled in college coursework. - A child care facility operator compensates staff members for the time spent completing professional development activities. - A child care facility operator compensates staff members for the cost of professional development activities. - A center administrator has at least 10 years of child care administrative work experience in a licensed child care facility. - A child care facility offers at least two mental health supports such as training offered on-site, paid time off for wellness, mental health coverage as part of health benefits or assistance in obtaining access to other services as requested. - A child care center pays for costs associated with enrolling in and completing early childhood education or child development coursework. Evidence was provided for the Recognition of Quality Initiatives listed above via email on 4/14/26. Based on verification of requirements in the classroom and instructional quality pathway, .3205 section of the child care rules, a five-star license has been earned. After final review, a different star level may be determined. Any discrepancies would be reviewed with you. If additional information is needed, you will be contacted. A rated license is evaluated every three years and the facility will be due again for a rated license assessment by April 2029. At each annual compliance visit, rated license components chosen will be monitored for meeting compliance according to 10A NCAC 09 .3222 MAINTAINING THE STAR RATING We discussed all violations must be corrected before the Rated License can be processed. Child Maltreatment Training: As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. WORKS: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. Health and Safety Training: It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: YMCA CHARLES BELL AFTERSCHOOL Facility ID: 11000679 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 4/28/2026 Number Present: 21 Completed Date: 4/28/2026 Age: From 5 To 11 Total Minutes: 210 Time In: 01:30 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance with rated license assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Sora Dowty, Program Coordinator, during the visit. A signed copy of the visit summary was emailed to you. S. Dowty was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine percent (89%) as of 4/27/26. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, The Young Men’s Christian Association of WNC Inc., is current/active as of 4/27/26. Permit type – Five (5) star license issued 12/4/25. Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets reduced ratios, school age only. The last annual compliance visit was conducted on 5/14/25. The last fire drill was practiced on 3/3/26. The last shelter-in-place drill was practiced on 2/26/26. The Emergency Medical Care plan was posted and current. The approved curriculum is Funny Daffers. The program is approved to provide transportation. Currently, no children are transported by the facility on a regular basis. YMCA vehicles are not maintained on site. I reviewed four (4) children’s files, one (1) new staff file and one (1) existing staff file. The one (1) new staff was visiting from another YMCA site and was present as a substitute provider for the regular Group Leader listed on the staff and training worksheet. Upon arrival, I met with Delaney Burke, Administrator, to review staff and children’s files via TEAMS. Upon entering the facility, I was greeted by S. Dowty. Children entered the program and began independent center play. Children engaged in pretend play with dolls and a dollhouse, played age-appropriate board games, made collages with scissors and paper, built small structures with interlocking blocks and worked on homework. Children then transitioned to wash hands before snack. Snack today consisted of graham crackers, applesauce, jerky, sunflower seeds and sunbutter. Interactions were positive and nurturing. Supervision was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff, hire date 9/16/25, had a medical report on file dated 3/11/26. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) staff, hire date 9/16/25, had a TB screening on file dated 3/11/26. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One (1) staff, hire date 9/16/25, had a First Aid training certification that was not received from an approved trainer. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One (1) staff, hire date 9/16/25, had a CPR training certification that was not received from an approved trainer. .1102(d) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. One (1) group leader was not connected to the facility in the ABCMS provider portal. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: Item #1032 and #1033: We reviewed rule .0701(a) that states a medical report must be on file for staff prior to employment and a TB test or screening must be on file on or before the first day of work. In your letter of compliance, please provide a plan that indicates how you will ensure staff provide a medical report prior to employment and a TB test or screening on or before the first day of work. Item #1048 and #1049: The staff’s training was provided by “National CPR Foundation”. This trainer is not listed as an approved trainer on the Division’s website. A copy of the list of approved trainers was provided to you today in the email containing this visit summary. We discussed the staff member is registered for an approved course on 5/13/26. Please note, this is past the due date for compliance from today’s visit. Plan to locate an earlier training for this staff so that these items are corrected within the required timeline. We discussed violations relating to the safety of children such as CPR/First Aid trained staff, may not be eligible for an extension. Therefore, if the violation is not corrected by 5/12/26, a follow-up visit may be conducted and repeat violations may be cited. As a reminder, back-to-back violations regarding CPR/First Aid may result in an Administrative Action recommendation. To reach compliance with this item, the one (1) staff must receive CPR/First Aid Training from an approved trainer. In your letter of compliance, please include a statement that indicates the staff has received approved training and that the certificate is on file. If there is a delay in receiving the certificate, plan to obtain documentation from the trainer that indicates the staff member has completed the training. Item #1805: To reach compliance with this item, the one (1) group leader, C. Bennett, must be connected to the facility in the ABCMS Provider Portal. In your letter of compliance, please include a statement that indicates the group leader has been added to the facility in the ABCMS Provider Portal. I will then verify their connection on the ABCMS Provider Portal. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/12/26. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminder: Plan to conduct a fire drill by 4/30/26. Plan to conduct a shelter-in-place or lockdown drill by 5/31/26. Rated License: The facility elects to participate in the Quality Rating and Improvement System by utilizing Pathway 2: Classroom and Instructional Quality Pathway. I received the Application of Assessment for a Rated License on 4/14/26 from Delaney Burke, Administrator. The facility earns a five (5) star license based on the following: Staff/Child Ratio and Enhanced Space: The facility currently meets the reduced, enhanced staff child ratios in rule .3209(b). The facility elects to follow the enhanced space requirements outlined in rule .3210(1). Education: The Administrator meets the five-star education requirements outlined in rule .3211 (e)(3). The Program Coordinator meets three-star requirements outlined in rule .3214(c)(2). The Group Leader meets the five-star education requirements outlined in rule. 3215 (e)(1). Fifty percent (50%) of staff meet the five-star requirements for their position. Education was verified in WORKS on 4/27/26. Family and Community Engagement: The facility meets foundational practices outlined in rule .3219(b). The facility meets options from each category of engagement plus two (2) additional options. The Family and Community Engagement Standards form was provided to me via email on 4/27/26. The family handbook, newsletters, and family survey results were provided to me via email on 4/14/26. The Family and Community Engagement Standards were verified on 4/27/26. Continuous Quality Improvement (CQI): The CQI plan for all staff was provided to me via email on 4/14/26. The CQI plan for the facility was provided to me via email on 4/14/26. This requirement is met. Curriculum: The facility uses the approved curriculum Funny Daffers. Activities from the curriculum were observed in implementation during the visit today. Delaney Burke, Administrator, completed training for the curriculum on 1/13/26. Coaching and Mentoring or Training: The Administrator plans to receive five (5) hours of coaching or mentoring from Jon Williams, Statewide School Age Project Manager with Southwestern Child Development Commission, according to rule .3205(f)(10)(a). Recognition of Quality Initiatives: The facility has requested to receive Recognition for the following Quality Initiatives: -The operator of a child care facility participates in the T.E.A.C.H. program or other education initiative that supports employed staff that want to enroll in or who are enrolled in college coursework. - A child care facility operator compensates staff members for the time spent completing professional development activities. - A child care facility operator compensates staff members for the cost of professional development activities. - A center administrator has at least 10 years of child care administrative work experience in a licensed child care facility. - A child care facility offers at least two mental health supports such as training offered on-site, paid time off for wellness, mental health coverage as part of health benefits or assistance in obtaining access to other services as requested. - A child care center pays for costs associated with enrolling in and completing early childhood education or child development coursework. Evidence was provided for the Recognition of Quality Initiatives listed above via email on 4/14/26. Based on verification of requirements in the classroom and instructional quality pathway, .3205 section of the child care rules, a five-star license has been earned. After final review, a different star level may be determined. Any discrepancies would be reviewed with you. If additional information is needed, you will be contacted. A rated license is evaluated every three years and the facility will be due again for a rated license assessment by April 2029. At each annual compliance visit, rated license components chosen will be monitored for meeting compliance according to 10A NCAC 09 .3222 MAINTAINING THE STAR RATING We discussed all violations must be corrected before the Rated License can be processed. Child Maltreatment Training: As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. WORKS: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. Health and Safety Training: It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: YMCA CHARLES BELL AFTERSCHOOL Facility ID: 11000679 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 12/4/2025 Number Present: 24 Completed Date: 12/4/2025 Age: From 5 To 10 Total Minutes: 200 Time In: 01:40 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Caitie Bennett, Group Leader, during the visit. A signed copy of the visit summary was emailed to you. C. Bennett was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, CPR/First Aid, special training, CBC qualification, Emergency Medical Care plan, administration of medication, storage of hazardous products, storage of medication, general safety, adequate/approved space, program records, license posted. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-six percent (86%) as of 12/1/25. Permit type – Five (5) star license issued 9/1/24. Special Services/Restrictions – 1st shift (daytime care), meets reduced ratios, meets enhanced space, school age only, playground area does not meet child care playground safety standards, children prohibited in the kitchen for any purpose. The last annual compliance visit was conducted on 5/14/25. The last fire drill was practiced on 11/21/25. The last shelter-in-place drill was practiced on 11/25/25. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 6/28/24 without hazards. Lead paint and asbestos testing has not been completed. The Clean Classrooms for Carolina Kids website states the status as “waiting for on-site visit results”. Continue to work with RTI and the public school to complete the required testing. Upon arrival, I was greeted by C. Bennett. Children separated into groups upon entry. Children in Group 1 used the restroom, washed hands and ate snack. Snack today consisted of sunflower seeds, jerky, applesauce, chili lime crackers and vegetable juice. Children in group 1 then transitioned to free choice play. Children built long ramps for cars, engaged in pretend play with dolls, built small structures with interlocking blocks and completed homework. Children in group 2 transitioned to outdoor play. Children played chasing games, climbed on a climber and read books. Interactions were positive and nurturing. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 1424 School-aged children were not adequately supervised. I observed two (2) school aged children in group 1 hiding under a table in the cafeteria. The children were straddling each other and covered their faces/heads with jackets. I alerted the staff member who then intervened and separated the children. .2506(d)(1-3) Technical assistance was provided as follows: Item #303: During the interaction between the two (2) children, the staff member was assisting children with homework on the other side of the cafeteria. I alerted the staff member to the observations I made of the two (2) children under the table. The staff member then responded, directing the children to separate and choose another activity. According to Child Care Rule .2506(d), staff must be able to see or hear all children in their care. According to Child Care Rule 1801 (a)(1) and (3), staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; staff must know where each child is located and be aware of the children's activities at all times. A supervision violation was cited today because the staff member was not aware of the children’s activities while they were hidden under the table. To ensure adequate supervision, plan to move throughout the indoor and outdoor space to ensure you are aware of the activities of all children. If you are engaged in an activity with children, look up periodically to scan the room to ensure you can see what all of the children are doing. We discussed some areas that can create other supervision issues such as the lemonade stand tent in the cafeteria and the climbing structure on the playground. Plan to station a staff member near these areas to ensure children are engaged in safe activities. Achieving Compliance: A follow-up visit will be conducted to verify compliance of supervision. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 12/18/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19431 Asheville, NC 28815 Please call me at 828-713-8192, or email Kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Due to recent changes in requirements, the following restrictions will be removed from the license: -Playground area does not meet child care playground safety standards -Children prohibited in the kitchen for any purpose Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: YMCA CHARLES BELL AFTERSCHOOL Facility ID: 11000679 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 5/14/2025 Number Present: 15 Completed Date: 5/14/2025 Age: From 5 To 11 Total Minutes: 225 Time In: 01:15 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Harper Swing, Program Coordinator, during the visit. A signed copy of the visit summary was emailed to you. H. Swing was present to ask and answer questions throughout the visit today. Delaney Burke, Administrator, was available via TEAMS to review staff and children’s files. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety percent (90%) as of 5/13/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non - Profit Corporation, The Young Men`s Christian Association of Western North Carolina, Inc., is current/active as of 5/13/25. Permit type – Five (5) star license issued 9/1/24 Special Services/Restrictions – 1st shift (daytime care), school age only, meets enhanced space, meets reduced ratios, playground area does not meet child care safety standards, children prohibited in the kitchen for any purpose. The facility is approved to provide transportation. The last annual compliance visit was conducted on 5/23/24. The last fire drill was practiced on 4/28/25. The last shelter-in-place drill was practiced on 2/26/25. The last fire inspection was approved on 2/10/25. The last sanitation inspection was conducted on 9/13/24 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 6/28/24 with hazards. Lead paint and asbestos testing has not been completed. The program is approved to provide transportation. You currently do not transport children on a regular basis to and from the facility. The vehicles are maintained off site. Transportation monitoring will occur at a later date for all YMCA facilities. Upon arrival I was greeted by H. Swing. Children were engaged in center play. Children built small structures with interlocking blocks, played board games, explored pretend play with dolls, created 3D collages using paper and glue sticks. Children washed hands to eat snack which consisted of milk, sunbutter, graham crackers, sunflower seeds, fruit and vegetable juice and applesauce. Interactions were positive and nurturing. Supervision was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) staff, hire date 9/3/24, received a negative TB test on 9/6/24. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The emergency information for one (1) staff, hire date 9/3/24, was dated 9/4/24. One (1) staff, hire date 12/9/22, did not have a current Emergency Information form on file. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. The Criminal Background Check qualification letter is dated 9/13/24 for staff H. Swing. The date of employment for staff H. Swing was 9/3/24. G.S. 110-90.2(b) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One (1) staff holds a First Aid certificate from a trainer that is not approved by the Division. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One (1) staff holds a CPR certificate from a trainer that is not approved by the Division. .1102(d) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The staff listed as the person responsible for carrying out the plan and the alternate were not present during the visit today. .0802(b)(1-2) 1958 Substitute providers and volunteers did not have a health questionnaire on or before the first day of work and annually thereafter. The Health Questionnaire for one (1) substitute was not on file. 10A NCAC 09 .0701(a) Technical assistance was provided as follows: Item #1041: Staff must receive their Criminal Background Check qualifying letter prior to employment in the license child care program. In your letter of compliance, provide a statement that indicates how you will prevent this violation from occurring in the future. Item #1035: Staff must have an Emergency Information form on file, on or before the first day of work. The form must be updated annually or as changes occur. To reach compliance with this item, have substitute WW complete an Emergency Information form and place in their staff file. Additionally, please include a statement that indicates how you will ensure staff complete the Emergency Information form on or before the first day of work. Item #1033: In your letter of compliance, include a statement that indicates how you will ensure staff receive the negative TB test results on or before the first day of work. Item #1958: For subs, the health questionnaire must be completed and on file on or before the first day of work. To reach compliance with this item, have the one (1) sub complete a health questionnaire and place in their file. Item #1048 and #1049: To reach compliance with this item, staff HS must receive a First Aid/CPR training from an approved trainer. To access the list of approved trainers, visit https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings/Be-a-Smart-Consumer-of-First-Aid-and-CPR-Training Please note, back to back CPR/First Aid violations may result in an Administrative Action. Item #1914: To reach compliance, update the Emergency Medical Care plan to include the new staff present at this site. You can place multiple names for each person responsible for carrying out an action and the alternates. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/28/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Kaitlyn.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email Kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Additional action is needed on your part to complete lead based paint and asbestos testing. Continue to work with the elementary school’s maintenance department to complete this requirement. ABCMS Provider Portal: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Approved Space: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Fire Inspection: Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” Child Maltreatment Training: As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. WORKS: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: YMCA CHARLES BELL AFTERSCHOOL Facility ID: 11000679 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 5/14/2025 Number Present: 15 Completed Date: 5/14/2025 Age: From 5 To 11 Total Minutes: 225 Time In: 01:15 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Harper Swing, Program Coordinator, during the visit. A signed copy of the visit summary was emailed to you. H. Swing was present to ask and answer questions throughout the visit today. Delaney Burke, Administrator, was available via TEAMS to review staff and children’s files. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety percent (90%) as of 5/13/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non - Profit Corporation, The Young Men`s Christian Association of Western North Carolina, Inc., is current/active as of 5/13/25. Permit type – Five (5) star license issued 9/1/24 Special Services/Restrictions – 1st shift (daytime care), school age only, meets enhanced space, meets reduced ratios, playground area does not meet child care safety standards, children prohibited in the kitchen for any purpose. The facility is approved to provide transportation. The last annual compliance visit was conducted on 5/23/24. The last fire drill was practiced on 4/28/25. The last shelter-in-place drill was practiced on 2/26/25. The last fire inspection was approved on 2/10/25. The last sanitation inspection was conducted on 9/13/24 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 6/28/24 with hazards. Lead paint and asbestos testing has not been completed. The program is approved to provide transportation. You currently do not transport children on a regular basis to and from the facility. The vehicles are maintained off site. Transportation monitoring will occur at a later date for all YMCA facilities. Upon arrival I was greeted by H. Swing. Children were engaged in center play. Children built small structures with interlocking blocks, played board games, explored pretend play with dolls, created 3D collages using paper and glue sticks. Children washed hands to eat snack which consisted of milk, sunbutter, graham crackers, sunflower seeds, fruit and vegetable juice and applesauce. Interactions were positive and nurturing. Supervision was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) staff, hire date 9/3/24, received a negative TB test on 9/6/24. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The emergency information for one (1) staff, hire date 9/3/24, was dated 9/4/24. One (1) staff, hire date 12/9/22, did not have a current Emergency Information form on file. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. The Criminal Background Check qualification letter is dated 9/13/24 for staff H. Swing. The date of employment for staff H. Swing was 9/3/24. G.S. 110-90.2(b) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One (1) staff holds a First Aid certificate from a trainer that is not approved by the Division. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One (1) staff holds a CPR certificate from a trainer that is not approved by the Division. .1102(d) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The staff listed as the person responsible for carrying out the plan and the alternate were not present during the visit today. .0802(b)(1-2) 1958 Substitute providers and volunteers did not have a health questionnaire on or before the first day of work and annually thereafter. The Health Questionnaire for one (1) substitute was not on file. 10A NCAC 09 .0701(a) Technical assistance was provided as follows: Item #1041: Staff must receive their Criminal Background Check qualifying letter prior to employment in the license child care program. In your letter of compliance, provide a statement that indicates how you will prevent this violation from occurring in the future. Item #1035: Staff must have an Emergency Information form on file, on or before the first day of work. The form must be updated annually or as changes occur. To reach compliance with this item, have substitute WW complete an Emergency Information form and place in their staff file. Additionally, please include a statement that indicates how you will ensure staff complete the Emergency Information form on or before the first day of work. Item #1033: In your letter of compliance, include a statement that indicates how you will ensure staff receive the negative TB test results on or before the first day of work. Item #1958: For subs, the health questionnaire must be completed and on file on or before the first day of work. To reach compliance with this item, have the one (1) sub complete a health questionnaire and place in their file. Item #1048 and #1049: To reach compliance with this item, staff HS must receive a First Aid/CPR training from an approved trainer. To access the list of approved trainers, visit https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings/Be-a-Smart-Consumer-of-First-Aid-and-CPR-Training Please note, back to back CPR/First Aid violations may result in an Administrative Action. Item #1914: To reach compliance, update the Emergency Medical Care plan to include the new staff present at this site. You can place multiple names for each person responsible for carrying out an action and the alternates. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/28/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Kaitlyn.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email Kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Additional action is needed on your part to complete lead based paint and asbestos testing. Continue to work with the elementary school’s maintenance department to complete this requirement. ABCMS Provider Portal: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Approved Space: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Fire Inspection: Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” Child Maltreatment Training: As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. WORKS: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: YMCA CHARLES BELL AFTERSCHOOL Facility ID: 11000679 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 5/14/2025 Number Present: 15 Completed Date: 5/14/2025 Age: From 5 To 11 Total Minutes: 225 Time In: 01:15 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Harper Swing, Program Coordinator, during the visit. A signed copy of the visit summary was emailed to you. H. Swing was present to ask and answer questions throughout the visit today. Delaney Burke, Administrator, was available via TEAMS to review staff and children’s files. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety percent (90%) as of 5/13/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non - Profit Corporation, The Young Men`s Christian Association of Western North Carolina, Inc., is current/active as of 5/13/25. Permit type – Five (5) star license issued 9/1/24 Special Services/Restrictions – 1st shift (daytime care), school age only, meets enhanced space, meets reduced ratios, playground area does not meet child care safety standards, children prohibited in the kitchen for any purpose. The facility is approved to provide transportation. The last annual compliance visit was conducted on 5/23/24. The last fire drill was practiced on 4/28/25. The last shelter-in-place drill was practiced on 2/26/25. The last fire inspection was approved on 2/10/25. The last sanitation inspection was conducted on 9/13/24 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 6/28/24 with hazards. Lead paint and asbestos testing has not been completed. The program is approved to provide transportation. You currently do not transport children on a regular basis to and from the facility. The vehicles are maintained off site. Transportation monitoring will occur at a later date for all YMCA facilities. Upon arrival I was greeted by H. Swing. Children were engaged in center play. Children built small structures with interlocking blocks, played board games, explored pretend play with dolls, created 3D collages using paper and glue sticks. Children washed hands to eat snack which consisted of milk, sunbutter, graham crackers, sunflower seeds, fruit and vegetable juice and applesauce. Interactions were positive and nurturing. Supervision was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) staff, hire date 9/3/24, received a negative TB test on 9/6/24. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The emergency information for one (1) staff, hire date 9/3/24, was dated 9/4/24. One (1) staff, hire date 12/9/22, did not have a current Emergency Information form on file. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. The Criminal Background Check qualification letter is dated 9/13/24 for staff H. Swing. The date of employment for staff H. Swing was 9/3/24. G.S. 110-90.2(b) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One (1) staff holds a First Aid certificate from a trainer that is not approved by the Division. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One (1) staff holds a CPR certificate from a trainer that is not approved by the Division. .1102(d) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The staff listed as the person responsible for carrying out the plan and the alternate were not present during the visit today. .0802(b)(1-2) 1958 Substitute providers and volunteers did not have a health questionnaire on or before the first day of work and annually thereafter. The Health Questionnaire for one (1) substitute was not on file. 10A NCAC 09 .0701(a) Technical assistance was provided as follows: Item #1041: Staff must receive their Criminal Background Check qualifying letter prior to employment in the license child care program. In your letter of compliance, provide a statement that indicates how you will prevent this violation from occurring in the future. Item #1035: Staff must have an Emergency Information form on file, on or before the first day of work. The form must be updated annually or as changes occur. To reach compliance with this item, have substitute WW complete an Emergency Information form and place in their staff file. Additionally, please include a statement that indicates how you will ensure staff complete the Emergency Information form on or before the first day of work. Item #1033: In your letter of compliance, include a statement that indicates how you will ensure staff receive the negative TB test results on or before the first day of work. Item #1958: For subs, the health questionnaire must be completed and on file on or before the first day of work. To reach compliance with this item, have the one (1) sub complete a health questionnaire and place in their file. Item #1048 and #1049: To reach compliance with this item, staff HS must receive a First Aid/CPR training from an approved trainer. To access the list of approved trainers, visit https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings/Be-a-Smart-Consumer-of-First-Aid-and-CPR-Training Please note, back to back CPR/First Aid violations may result in an Administrative Action. Item #1914: To reach compliance, update the Emergency Medical Care plan to include the new staff present at this site. You can place multiple names for each person responsible for carrying out an action and the alternates. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/28/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Kaitlyn.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email Kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Additional action is needed on your part to complete lead based paint and asbestos testing. Continue to work with the elementary school’s maintenance department to complete this requirement. ABCMS Provider Portal: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Approved Space: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Fire Inspection: Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” Child Maltreatment Training: As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. WORKS: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: YMCA CHARLES BELL AFTERSCHOOL Facility ID: 11000679 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 5/14/2025 Number Present: 15 Completed Date: 5/14/2025 Age: From 5 To 11 Total Minutes: 225 Time In: 01:15 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Harper Swing, Program Coordinator, during the visit. A signed copy of the visit summary was emailed to you. H. Swing was present to ask and answer questions throughout the visit today. Delaney Burke, Administrator, was available via TEAMS to review staff and children’s files. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety percent (90%) as of 5/13/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non - Profit Corporation, The Young Men`s Christian Association of Western North Carolina, Inc., is current/active as of 5/13/25. Permit type – Five (5) star license issued 9/1/24 Special Services/Restrictions – 1st shift (daytime care), school age only, meets enhanced space, meets reduced ratios, playground area does not meet child care safety standards, children prohibited in the kitchen for any purpose. The facility is approved to provide transportation. The last annual compliance visit was conducted on 5/23/24. The last fire drill was practiced on 4/28/25. The last shelter-in-place drill was practiced on 2/26/25. The last fire inspection was approved on 2/10/25. The last sanitation inspection was conducted on 9/13/24 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 6/28/24 with hazards. Lead paint and asbestos testing has not been completed. The program is approved to provide transportation. You currently do not transport children on a regular basis to and from the facility. The vehicles are maintained off site. Transportation monitoring will occur at a later date for all YMCA facilities. Upon arrival I was greeted by H. Swing. Children were engaged in center play. Children built small structures with interlocking blocks, played board games, explored pretend play with dolls, created 3D collages using paper and glue sticks. Children washed hands to eat snack which consisted of milk, sunbutter, graham crackers, sunflower seeds, fruit and vegetable juice and applesauce. Interactions were positive and nurturing. Supervision was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) staff, hire date 9/3/24, received a negative TB test on 9/6/24. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The emergency information for one (1) staff, hire date 9/3/24, was dated 9/4/24. One (1) staff, hire date 12/9/22, did not have a current Emergency Information form on file. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. The Criminal Background Check qualification letter is dated 9/13/24 for staff H. Swing. The date of employment for staff H. Swing was 9/3/24. G.S. 110-90.2(b) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One (1) staff holds a First Aid certificate from a trainer that is not approved by the Division. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One (1) staff holds a CPR certificate from a trainer that is not approved by the Division. .1102(d) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The staff listed as the person responsible for carrying out the plan and the alternate were not present during the visit today. .0802(b)(1-2) 1958 Substitute providers and volunteers did not have a health questionnaire on or before the first day of work and annually thereafter. The Health Questionnaire for one (1) substitute was not on file. 10A NCAC 09 .0701(a) Technical assistance was provided as follows: Item #1041: Staff must receive their Criminal Background Check qualifying letter prior to employment in the license child care program. In your letter of compliance, provide a statement that indicates how you will prevent this violation from occurring in the future. Item #1035: Staff must have an Emergency Information form on file, on or before the first day of work. The form must be updated annually or as changes occur. To reach compliance with this item, have substitute WW complete an Emergency Information form and place in their staff file. Additionally, please include a statement that indicates how you will ensure staff complete the Emergency Information form on or before the first day of work. Item #1033: In your letter of compliance, include a statement that indicates how you will ensure staff receive the negative TB test results on or before the first day of work. Item #1958: For subs, the health questionnaire must be completed and on file on or before the first day of work. To reach compliance with this item, have the one (1) sub complete a health questionnaire and place in their file. Item #1048 and #1049: To reach compliance with this item, staff HS must receive a First Aid/CPR training from an approved trainer. To access the list of approved trainers, visit https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings/Be-a-Smart-Consumer-of-First-Aid-and-CPR-Training Please note, back to back CPR/First Aid violations may result in an Administrative Action. Item #1914: To reach compliance, update the Emergency Medical Care plan to include the new staff present at this site. You can place multiple names for each person responsible for carrying out an action and the alternates. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/28/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Kaitlyn.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email Kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Additional action is needed on your part to complete lead based paint and asbestos testing. Continue to work with the elementary school’s maintenance department to complete this requirement. ABCMS Provider Portal: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Approved Space: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Fire Inspection: Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” Child Maltreatment Training: As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. WORKS: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: YMCA CHARLES BELL AFTERSCHOOL Facility ID: 11000679 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 5/14/2025 Number Present: 15 Completed Date: 5/14/2025 Age: From 5 To 11 Total Minutes: 225 Time In: 01:15 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Harper Swing, Program Coordinator, during the visit. A signed copy of the visit summary was emailed to you. H. Swing was present to ask and answer questions throughout the visit today. Delaney Burke, Administrator, was available via TEAMS to review staff and children’s files. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety percent (90%) as of 5/13/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non - Profit Corporation, The Young Men`s Christian Association of Western North Carolina, Inc., is current/active as of 5/13/25. Permit type – Five (5) star license issued 9/1/24 Special Services/Restrictions – 1st shift (daytime care), school age only, meets enhanced space, meets reduced ratios, playground area does not meet child care safety standards, children prohibited in the kitchen for any purpose. The facility is approved to provide transportation. The last annual compliance visit was conducted on 5/23/24. The last fire drill was practiced on 4/28/25. The last shelter-in-place drill was practiced on 2/26/25. The last fire inspection was approved on 2/10/25. The last sanitation inspection was conducted on 9/13/24 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 6/28/24 with hazards. Lead paint and asbestos testing has not been completed. The program is approved to provide transportation. You currently do not transport children on a regular basis to and from the facility. The vehicles are maintained off site. Transportation monitoring will occur at a later date for all YMCA facilities. Upon arrival I was greeted by H. Swing. Children were engaged in center play. Children built small structures with interlocking blocks, played board games, explored pretend play with dolls, created 3D collages using paper and glue sticks. Children washed hands to eat snack which consisted of milk, sunbutter, graham crackers, sunflower seeds, fruit and vegetable juice and applesauce. Interactions were positive and nurturing. Supervision was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) staff, hire date 9/3/24, received a negative TB test on 9/6/24. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The emergency information for one (1) staff, hire date 9/3/24, was dated 9/4/24. One (1) staff, hire date 12/9/22, did not have a current Emergency Information form on file. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. The Criminal Background Check qualification letter is dated 9/13/24 for staff H. Swing. The date of employment for staff H. Swing was 9/3/24. G.S. 110-90.2(b) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One (1) staff holds a First Aid certificate from a trainer that is not approved by the Division. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One (1) staff holds a CPR certificate from a trainer that is not approved by the Division. .1102(d) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The staff listed as the person responsible for carrying out the plan and the alternate were not present during the visit today. .0802(b)(1-2) 1958 Substitute providers and volunteers did not have a health questionnaire on or before the first day of work and annually thereafter. The Health Questionnaire for one (1) substitute was not on file. 10A NCAC 09 .0701(a) Technical assistance was provided as follows: Item #1041: Staff must receive their Criminal Background Check qualifying letter prior to employment in the license child care program. In your letter of compliance, provide a statement that indicates how you will prevent this violation from occurring in the future. Item #1035: Staff must have an Emergency Information form on file, on or before the first day of work. The form must be updated annually or as changes occur. To reach compliance with this item, have substitute WW complete an Emergency Information form and place in their staff file. Additionally, please include a statement that indicates how you will ensure staff complete the Emergency Information form on or before the first day of work. Item #1033: In your letter of compliance, include a statement that indicates how you will ensure staff receive the negative TB test results on or before the first day of work. Item #1958: For subs, the health questionnaire must be completed and on file on or before the first day of work. To reach compliance with this item, have the one (1) sub complete a health questionnaire and place in their file. Item #1048 and #1049: To reach compliance with this item, staff HS must receive a First Aid/CPR training from an approved trainer. To access the list of approved trainers, visit https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings/Be-a-Smart-Consumer-of-First-Aid-and-CPR-Training Please note, back to back CPR/First Aid violations may result in an Administrative Action. Item #1914: To reach compliance, update the Emergency Medical Care plan to include the new staff present at this site. You can place multiple names for each person responsible for carrying out an action and the alternates. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/28/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Kaitlyn.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email Kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Additional action is needed on your part to complete lead based paint and asbestos testing. Continue to work with the elementary school’s maintenance department to complete this requirement. ABCMS Provider Portal: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Approved Space: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Fire Inspection: Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” Child Maltreatment Training: As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. WORKS: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: YMCA CHARLES BELL AFTERSCHOOL Facility ID: 11000679 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 5/14/2025 Number Present: 15 Completed Date: 5/14/2025 Age: From 5 To 11 Total Minutes: 225 Time In: 01:15 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Harper Swing, Program Coordinator, during the visit. A signed copy of the visit summary was emailed to you. H. Swing was present to ask and answer questions throughout the visit today. Delaney Burke, Administrator, was available via TEAMS to review staff and children’s files. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety percent (90%) as of 5/13/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non - Profit Corporation, The Young Men`s Christian Association of Western North Carolina, Inc., is current/active as of 5/13/25. Permit type – Five (5) star license issued 9/1/24 Special Services/Restrictions – 1st shift (daytime care), school age only, meets enhanced space, meets reduced ratios, playground area does not meet child care safety standards, children prohibited in the kitchen for any purpose. The facility is approved to provide transportation. The last annual compliance visit was conducted on 5/23/24. The last fire drill was practiced on 4/28/25. The last shelter-in-place drill was practiced on 2/26/25. The last fire inspection was approved on 2/10/25. The last sanitation inspection was conducted on 9/13/24 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 6/28/24 with hazards. Lead paint and asbestos testing has not been completed. The program is approved to provide transportation. You currently do not transport children on a regular basis to and from the facility. The vehicles are maintained off site. Transportation monitoring will occur at a later date for all YMCA facilities. Upon arrival I was greeted by H. Swing. Children were engaged in center play. Children built small structures with interlocking blocks, played board games, explored pretend play with dolls, created 3D collages using paper and glue sticks. Children washed hands to eat snack which consisted of milk, sunbutter, graham crackers, sunflower seeds, fruit and vegetable juice and applesauce. Interactions were positive and nurturing. Supervision was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) staff, hire date 9/3/24, received a negative TB test on 9/6/24. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The emergency information for one (1) staff, hire date 9/3/24, was dated 9/4/24. One (1) staff, hire date 12/9/22, did not have a current Emergency Information form on file. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. The Criminal Background Check qualification letter is dated 9/13/24 for staff H. Swing. The date of employment for staff H. Swing was 9/3/24. G.S. 110-90.2(b) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One (1) staff holds a First Aid certificate from a trainer that is not approved by the Division. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One (1) staff holds a CPR certificate from a trainer that is not approved by the Division. .1102(d) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The staff listed as the person responsible for carrying out the plan and the alternate were not present during the visit today. .0802(b)(1-2) 1958 Substitute providers and volunteers did not have a health questionnaire on or before the first day of work and annually thereafter. The Health Questionnaire for one (1) substitute was not on file. 10A NCAC 09 .0701(a) Technical assistance was provided as follows: Item #1041: Staff must receive their Criminal Background Check qualifying letter prior to employment in the license child care program. In your letter of compliance, provide a statement that indicates how you will prevent this violation from occurring in the future. Item #1035: Staff must have an Emergency Information form on file, on or before the first day of work. The form must be updated annually or as changes occur. To reach compliance with this item, have substitute WW complete an Emergency Information form and place in their staff file. Additionally, please include a statement that indicates how you will ensure staff complete the Emergency Information form on or before the first day of work. Item #1033: In your letter of compliance, include a statement that indicates how you will ensure staff receive the negative TB test results on or before the first day of work. Item #1958: For subs, the health questionnaire must be completed and on file on or before the first day of work. To reach compliance with this item, have the one (1) sub complete a health questionnaire and place in their file. Item #1048 and #1049: To reach compliance with this item, staff HS must receive a First Aid/CPR training from an approved trainer. To access the list of approved trainers, visit https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings/Be-a-Smart-Consumer-of-First-Aid-and-CPR-Training Please note, back to back CPR/First Aid violations may result in an Administrative Action. Item #1914: To reach compliance, update the Emergency Medical Care plan to include the new staff present at this site. You can place multiple names for each person responsible for carrying out an action and the alternates. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/28/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Kaitlyn.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email Kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Additional action is needed on your part to complete lead based paint and asbestos testing. Continue to work with the elementary school’s maintenance department to complete this requirement. ABCMS Provider Portal: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Approved Space: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Fire Inspection: Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” Child Maltreatment Training: As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. WORKS: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: YMCA CHARLES BELL AFTERSCHOOL Facility ID: 11000679 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 5/14/2025 Number Present: 15 Completed Date: 5/14/2025 Age: From 5 To 11 Total Minutes: 225 Time In: 01:15 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Harper Swing, Program Coordinator, during the visit. A signed copy of the visit summary was emailed to you. H. Swing was present to ask and answer questions throughout the visit today. Delaney Burke, Administrator, was available via TEAMS to review staff and children’s files. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety percent (90%) as of 5/13/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non - Profit Corporation, The Young Men`s Christian Association of Western North Carolina, Inc., is current/active as of 5/13/25. Permit type – Five (5) star license issued 9/1/24 Special Services/Restrictions – 1st shift (daytime care), school age only, meets enhanced space, meets reduced ratios, playground area does not meet child care safety standards, children prohibited in the kitchen for any purpose. The facility is approved to provide transportation. The last annual compliance visit was conducted on 5/23/24. The last fire drill was practiced on 4/28/25. The last shelter-in-place drill was practiced on 2/26/25. The last fire inspection was approved on 2/10/25. The last sanitation inspection was conducted on 9/13/24 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 6/28/24 with hazards. Lead paint and asbestos testing has not been completed. The program is approved to provide transportation. You currently do not transport children on a regular basis to and from the facility. The vehicles are maintained off site. Transportation monitoring will occur at a later date for all YMCA facilities. Upon arrival I was greeted by H. Swing. Children were engaged in center play. Children built small structures with interlocking blocks, played board games, explored pretend play with dolls, created 3D collages using paper and glue sticks. Children washed hands to eat snack which consisted of milk, sunbutter, graham crackers, sunflower seeds, fruit and vegetable juice and applesauce. Interactions were positive and nurturing. Supervision was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) staff, hire date 9/3/24, received a negative TB test on 9/6/24. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The emergency information for one (1) staff, hire date 9/3/24, was dated 9/4/24. One (1) staff, hire date 12/9/22, did not have a current Emergency Information form on file. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. The Criminal Background Check qualification letter is dated 9/13/24 for staff H. Swing. The date of employment for staff H. Swing was 9/3/24. G.S. 110-90.2(b) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One (1) staff holds a First Aid certificate from a trainer that is not approved by the Division. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One (1) staff holds a CPR certificate from a trainer that is not approved by the Division. .1102(d) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The staff listed as the person responsible for carrying out the plan and the alternate were not present during the visit today. .0802(b)(1-2) 1958 Substitute providers and volunteers did not have a health questionnaire on or before the first day of work and annually thereafter. The Health Questionnaire for one (1) substitute was not on file. 10A NCAC 09 .0701(a) Technical assistance was provided as follows: Item #1041: Staff must receive their Criminal Background Check qualifying letter prior to employment in the license child care program. In your letter of compliance, provide a statement that indicates how you will prevent this violation from occurring in the future. Item #1035: Staff must have an Emergency Information form on file, on or before the first day of work. The form must be updated annually or as changes occur. To reach compliance with this item, have substitute WW complete an Emergency Information form and place in their staff file. Additionally, please include a statement that indicates how you will ensure staff complete the Emergency Information form on or before the first day of work. Item #1033: In your letter of compliance, include a statement that indicates how you will ensure staff receive the negative TB test results on or before the first day of work. Item #1958: For subs, the health questionnaire must be completed and on file on or before the first day of work. To reach compliance with this item, have the one (1) sub complete a health questionnaire and place in their file. Item #1048 and #1049: To reach compliance with this item, staff HS must receive a First Aid/CPR training from an approved trainer. To access the list of approved trainers, visit https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings/Be-a-Smart-Consumer-of-First-Aid-and-CPR-Training Please note, back to back CPR/First Aid violations may result in an Administrative Action. Item #1914: To reach compliance, update the Emergency Medical Care plan to include the new staff present at this site. You can place multiple names for each person responsible for carrying out an action and the alternates. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/28/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Kaitlyn.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email Kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Additional action is needed on your part to complete lead based paint and asbestos testing. Continue to work with the elementary school’s maintenance department to complete this requirement. ABCMS Provider Portal: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Approved Space: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Fire Inspection: Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” Child Maltreatment Training: As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. WORKS: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: YMCA CHARLES BELL AFTERSCHOOL Facility ID: 11000679 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 5/23/2024 Number Present: 22 Completed Date: 5/23/2024 Age: From 5 To 11 Total Minutes: 150 Time In: 02:00 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. This full monitoring visit was conducted due to the facility’s Provisional License expiring on 8/31/24. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Sora Dowty, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to Delaney Burke, Senior Operations Director. The facility is operating on a Provisional license issued 8/31/23. The provisional license will expire on 8/31/24. Lead hazards were identified during a lead investigation that was conducted on 3/7/23 and 3/28/23. According to a statement received from Clark Wyatt, Director of Maintenance for Buncombe County Schools on 2/19/24, the remediation work will be completed over the summer when children are not present in the building. A full monitoring visit is needed to reissue the star rated license upon completion of the lead remediation work. Ms. Dowty was available during today’s visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, The Young Men’s Christian Association of Western North Carolina is current/active as of 5/17/24. Permit type – Provisional License issued on 8/31/23. This license will expire on 8/31/24. Special Services/Restrictions – daytime care, school-age only, meets enhanced space, meets reduced ratios, playground area does not meet child care playground safety standards, children prohibited in the kitchen for any purpose. The last annual compliance visit was conducted on 9/21/23. The last fire drill was practiced on 5/22/24. The last lockdown drill was practiced on 2/8/24. The last fire inspection was approved on 1/22/24. The last sanitation inspection was conducted on 9/12/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and was not current. Two (2) staff members who is considered a summer employee and a staff member who is no longer employed was listed as alternates. Upon arrival, I announced my presence and the purpose of the visit. A menu and a daily schedule is posted on the bulletin board in cafeteria. Other posters, including EMC, Summary of laws, safe arrival/departure, fire inspection, sanitation inspection and emergency drill logs were posted in the gym. First Aid poster and staff/child ratios sheet were not posted in the gym or in cafeteria. Two (2) children arrived at 2:25 pm. The children engaged in free play with various materials, such as playdough, matchbox cars with tracks, games, art materials and manipulative materials. Some children read books and completed homework. The children arrived as their classroom teachers brought a group of bus riders to the front of the building. The cafeteria is located by the front entrance. Therefore, the classroom teachers dropped after school children as they headed outside. No handwashing was observed upon arrival. At 3:10 pm, the group of children lined up and went to the bathroom to wash their hands. Snacks were served during the visit. Today’s snacks were BBQ Jack Links, sunflower kernels, WG Bean and Veggies crackers, apple sauce, veggie blend juice and milk. The items were accurately listed on the menu. Some children chose to eat what they brought from home. Snacks were passed by a child. Two (2) medications are maintained. Both medications were stored appropriately, One (1) staff member’s file was monitored in full, and the other staff member’s file was monitored partially. SD’s file was monitored on 9/21/23, therefore, only the items expired were monitored. The new staff member hired on 4/29/24, was not listed on the staff and training worksheet submitted by Ms. Delaney. The staff has valid application, orientation records, criminal background letter, health questionnaire, emergency information form, medical, TB record and documentation that verified reception of operational and personnel policy. The Staff has not completed Recognizing and Responding to Suspicions of Child Maltreatment training, BSAC or CPR and First Aid training yet. ABCMS system was monitored during the visit and both staff members have current CBC letters. Playground was monitored. The playground has two (2) slide structures and graveled. No hazards were found. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ YMCA transportation monitoring is scheduled to be conducted on 6/4/24. The following violations were documented during today’s visit: Violation Number Comment Rule 102 The license was not posted in a prominent place at all times. The provisional License issued on 8/31/23 and expired on 2/29/24 was posted in the gym, but not the licensed that are expiring on 8/31/24. G.S. 110-99(a1) 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. Staff/Child Ratio poster was not posted in the cafeteria or in the gym. .0713(a)(10), (c) & (f)(3); .2818(e) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. The children did not wash their hands upon arrival. The children arrived and started playing with materials. 15A NCAC 18A .2803(c) 837 The EMC plan did not name the person responsible, and at least one alternate, for choosing and carrying out the plan of action to obtain appropriate medical care. Two ((2) alternate persons listed on the Emergency Medical Care Plan no longer works at this facility. .0802(a)(1)(A-B); Technical assistance was provided as follows: 102: Permit/License Provisional License issued on 8/31/23 shall be posted. § 110-99. Possession and display of license. (a1) Each child care facility shall display its current license in a prominent place at all times so that the public may be on notice that the facility is licensed and may observe any rating which may appear on the license. Any license issued to a child care facility under this Article shall remain the property of the State and may be removed by persons employed or designated by the Secretary in the event that the license is revoked or suspended, or in the event that the rating is changed. 319: Staff/Child Ratio poster Staff/Child Ratio sheet shall be posted in the area where the parents can see. 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (a) The staff/child ratios and group sizes for single-age groups of children in centers shall be as follows: (10) the staff/child ratio applicable to a classroom as described in this Paragraph shall be posted in that classroom in an area that parents are able to view at all times. 608: Handwashing The children shall wash their hands upon arrival, before eating, after using the bathroom. Soap and water is required before eating and after using the bathroom. You can use hand sanitizers to wash the children’s hands upon arrival. 15A NCAC 18A .2803 HANDWASHING (b) Children shall wash hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. 830: First Aid information poster First aid information shall be posted where staff members can review. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (h) A First Aid information sheet shall be posted in a place for referral. The information sheet shall include first aid guidance regarding burns, scalds, fractures, sprains, head injuries, poisons, skin wounds, stings and bites. An information sheet may be requested free of charge from the North Carolina Child Care Health and Safety Resource Center at 1-800-367-2229. 837: Emergency Medical Care (EMC) Plan At least one (1) person and one (1) alternate person shall be listed on the Emergency Medical Care Plan. When staff members change, you shall review the form to make sure that the information is up to date. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/4/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Medication, Auvi-Q will expire on September 20, 2024. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0713 · Violation

Name of Operation: YMCA CHARLES BELL AFTERSCHOOL Facility ID: 11000679 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 5/23/2024 Number Present: 22 Completed Date: 5/23/2024 Age: From 5 To 11 Total Minutes: 150 Time In: 02:00 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. This full monitoring visit was conducted due to the facility’s Provisional License expiring on 8/31/24. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Sora Dowty, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to Delaney Burke, Senior Operations Director. The facility is operating on a Provisional license issued 8/31/23. The provisional license will expire on 8/31/24. Lead hazards were identified during a lead investigation that was conducted on 3/7/23 and 3/28/23. According to a statement received from Clark Wyatt, Director of Maintenance for Buncombe County Schools on 2/19/24, the remediation work will be completed over the summer when children are not present in the building. A full monitoring visit is needed to reissue the star rated license upon completion of the lead remediation work. Ms. Dowty was available during today’s visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, The Young Men’s Christian Association of Western North Carolina is current/active as of 5/17/24. Permit type – Provisional License issued on 8/31/23. This license will expire on 8/31/24. Special Services/Restrictions – daytime care, school-age only, meets enhanced space, meets reduced ratios, playground area does not meet child care playground safety standards, children prohibited in the kitchen for any purpose. The last annual compliance visit was conducted on 9/21/23. The last fire drill was practiced on 5/22/24. The last lockdown drill was practiced on 2/8/24. The last fire inspection was approved on 1/22/24. The last sanitation inspection was conducted on 9/12/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and was not current. Two (2) staff members who is considered a summer employee and a staff member who is no longer employed was listed as alternates. Upon arrival, I announced my presence and the purpose of the visit. A menu and a daily schedule is posted on the bulletin board in cafeteria. Other posters, including EMC, Summary of laws, safe arrival/departure, fire inspection, sanitation inspection and emergency drill logs were posted in the gym. First Aid poster and staff/child ratios sheet were not posted in the gym or in cafeteria. Two (2) children arrived at 2:25 pm. The children engaged in free play with various materials, such as playdough, matchbox cars with tracks, games, art materials and manipulative materials. Some children read books and completed homework. The children arrived as their classroom teachers brought a group of bus riders to the front of the building. The cafeteria is located by the front entrance. Therefore, the classroom teachers dropped after school children as they headed outside. No handwashing was observed upon arrival. At 3:10 pm, the group of children lined up and went to the bathroom to wash their hands. Snacks were served during the visit. Today’s snacks were BBQ Jack Links, sunflower kernels, WG Bean and Veggies crackers, apple sauce, veggie blend juice and milk. The items were accurately listed on the menu. Some children chose to eat what they brought from home. Snacks were passed by a child. Two (2) medications are maintained. Both medications were stored appropriately, One (1) staff member’s file was monitored in full, and the other staff member’s file was monitored partially. SD’s file was monitored on 9/21/23, therefore, only the items expired were monitored. The new staff member hired on 4/29/24, was not listed on the staff and training worksheet submitted by Ms. Delaney. The staff has valid application, orientation records, criminal background letter, health questionnaire, emergency information form, medical, TB record and documentation that verified reception of operational and personnel policy. The Staff has not completed Recognizing and Responding to Suspicions of Child Maltreatment training, BSAC or CPR and First Aid training yet. ABCMS system was monitored during the visit and both staff members have current CBC letters. Playground was monitored. The playground has two (2) slide structures and graveled. No hazards were found. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ YMCA transportation monitoring is scheduled to be conducted on 6/4/24. The following violations were documented during today’s visit: Violation Number Comment Rule 102 The license was not posted in a prominent place at all times. The provisional License issued on 8/31/23 and expired on 2/29/24 was posted in the gym, but not the licensed that are expiring on 8/31/24. G.S. 110-99(a1) 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. Staff/Child Ratio poster was not posted in the cafeteria or in the gym. .0713(a)(10), (c) & (f)(3); .2818(e) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. The children did not wash their hands upon arrival. The children arrived and started playing with materials. 15A NCAC 18A .2803(c) 837 The EMC plan did not name the person responsible, and at least one alternate, for choosing and carrying out the plan of action to obtain appropriate medical care. Two ((2) alternate persons listed on the Emergency Medical Care Plan no longer works at this facility. .0802(a)(1)(A-B); Technical assistance was provided as follows: 102: Permit/License Provisional License issued on 8/31/23 shall be posted. § 110-99. Possession and display of license. (a1) Each child care facility shall display its current license in a prominent place at all times so that the public may be on notice that the facility is licensed and may observe any rating which may appear on the license. Any license issued to a child care facility under this Article shall remain the property of the State and may be removed by persons employed or designated by the Secretary in the event that the license is revoked or suspended, or in the event that the rating is changed. 319: Staff/Child Ratio poster Staff/Child Ratio sheet shall be posted in the area where the parents can see. 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (a) The staff/child ratios and group sizes for single-age groups of children in centers shall be as follows: (10) the staff/child ratio applicable to a classroom as described in this Paragraph shall be posted in that classroom in an area that parents are able to view at all times. 608: Handwashing The children shall wash their hands upon arrival, before eating, after using the bathroom. Soap and water is required before eating and after using the bathroom. You can use hand sanitizers to wash the children’s hands upon arrival. 15A NCAC 18A .2803 HANDWASHING (b) Children shall wash hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. 830: First Aid information poster First aid information shall be posted where staff members can review. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (h) A First Aid information sheet shall be posted in a place for referral. The information sheet shall include first aid guidance regarding burns, scalds, fractures, sprains, head injuries, poisons, skin wounds, stings and bites. An information sheet may be requested free of charge from the North Carolina Child Care Health and Safety Resource Center at 1-800-367-2229. 837: Emergency Medical Care (EMC) Plan At least one (1) person and one (1) alternate person shall be listed on the Emergency Medical Care Plan. When staff members change, you shall review the form to make sure that the information is up to date. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/4/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Medication, Auvi-Q will expire on September 20, 2024. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0802 · Violation

Name of Operation: YMCA CHARLES BELL AFTERSCHOOL Facility ID: 11000679 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 5/23/2024 Number Present: 22 Completed Date: 5/23/2024 Age: From 5 To 11 Total Minutes: 150 Time In: 02:00 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. This full monitoring visit was conducted due to the facility’s Provisional License expiring on 8/31/24. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Sora Dowty, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to Delaney Burke, Senior Operations Director. The facility is operating on a Provisional license issued 8/31/23. The provisional license will expire on 8/31/24. Lead hazards were identified during a lead investigation that was conducted on 3/7/23 and 3/28/23. According to a statement received from Clark Wyatt, Director of Maintenance for Buncombe County Schools on 2/19/24, the remediation work will be completed over the summer when children are not present in the building. A full monitoring visit is needed to reissue the star rated license upon completion of the lead remediation work. Ms. Dowty was available during today’s visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, The Young Men’s Christian Association of Western North Carolina is current/active as of 5/17/24. Permit type – Provisional License issued on 8/31/23. This license will expire on 8/31/24. Special Services/Restrictions – daytime care, school-age only, meets enhanced space, meets reduced ratios, playground area does not meet child care playground safety standards, children prohibited in the kitchen for any purpose. The last annual compliance visit was conducted on 9/21/23. The last fire drill was practiced on 5/22/24. The last lockdown drill was practiced on 2/8/24. The last fire inspection was approved on 1/22/24. The last sanitation inspection was conducted on 9/12/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and was not current. Two (2) staff members who is considered a summer employee and a staff member who is no longer employed was listed as alternates. Upon arrival, I announced my presence and the purpose of the visit. A menu and a daily schedule is posted on the bulletin board in cafeteria. Other posters, including EMC, Summary of laws, safe arrival/departure, fire inspection, sanitation inspection and emergency drill logs were posted in the gym. First Aid poster and staff/child ratios sheet were not posted in the gym or in cafeteria. Two (2) children arrived at 2:25 pm. The children engaged in free play with various materials, such as playdough, matchbox cars with tracks, games, art materials and manipulative materials. Some children read books and completed homework. The children arrived as their classroom teachers brought a group of bus riders to the front of the building. The cafeteria is located by the front entrance. Therefore, the classroom teachers dropped after school children as they headed outside. No handwashing was observed upon arrival. At 3:10 pm, the group of children lined up and went to the bathroom to wash their hands. Snacks were served during the visit. Today’s snacks were BBQ Jack Links, sunflower kernels, WG Bean and Veggies crackers, apple sauce, veggie blend juice and milk. The items were accurately listed on the menu. Some children chose to eat what they brought from home. Snacks were passed by a child. Two (2) medications are maintained. Both medications were stored appropriately, One (1) staff member’s file was monitored in full, and the other staff member’s file was monitored partially. SD’s file was monitored on 9/21/23, therefore, only the items expired were monitored. The new staff member hired on 4/29/24, was not listed on the staff and training worksheet submitted by Ms. Delaney. The staff has valid application, orientation records, criminal background letter, health questionnaire, emergency information form, medical, TB record and documentation that verified reception of operational and personnel policy. The Staff has not completed Recognizing and Responding to Suspicions of Child Maltreatment training, BSAC or CPR and First Aid training yet. ABCMS system was monitored during the visit and both staff members have current CBC letters. Playground was monitored. The playground has two (2) slide structures and graveled. No hazards were found. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ YMCA transportation monitoring is scheduled to be conducted on 6/4/24. The following violations were documented during today’s visit: Violation Number Comment Rule 102 The license was not posted in a prominent place at all times. The provisional License issued on 8/31/23 and expired on 2/29/24 was posted in the gym, but not the licensed that are expiring on 8/31/24. G.S. 110-99(a1) 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. Staff/Child Ratio poster was not posted in the cafeteria or in the gym. .0713(a)(10), (c) & (f)(3); .2818(e) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. The children did not wash their hands upon arrival. The children arrived and started playing with materials. 15A NCAC 18A .2803(c) 837 The EMC plan did not name the person responsible, and at least one alternate, for choosing and carrying out the plan of action to obtain appropriate medical care. Two ((2) alternate persons listed on the Emergency Medical Care Plan no longer works at this facility. .0802(a)(1)(A-B); Technical assistance was provided as follows: 102: Permit/License Provisional License issued on 8/31/23 shall be posted. § 110-99. Possession and display of license. (a1) Each child care facility shall display its current license in a prominent place at all times so that the public may be on notice that the facility is licensed and may observe any rating which may appear on the license. Any license issued to a child care facility under this Article shall remain the property of the State and may be removed by persons employed or designated by the Secretary in the event that the license is revoked or suspended, or in the event that the rating is changed. 319: Staff/Child Ratio poster Staff/Child Ratio sheet shall be posted in the area where the parents can see. 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (a) The staff/child ratios and group sizes for single-age groups of children in centers shall be as follows: (10) the staff/child ratio applicable to a classroom as described in this Paragraph shall be posted in that classroom in an area that parents are able to view at all times. 608: Handwashing The children shall wash their hands upon arrival, before eating, after using the bathroom. Soap and water is required before eating and after using the bathroom. You can use hand sanitizers to wash the children’s hands upon arrival. 15A NCAC 18A .2803 HANDWASHING (b) Children shall wash hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. 830: First Aid information poster First aid information shall be posted where staff members can review. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (h) A First Aid information sheet shall be posted in a place for referral. The information sheet shall include first aid guidance regarding burns, scalds, fractures, sprains, head injuries, poisons, skin wounds, stings and bites. An information sheet may be requested free of charge from the North Carolina Child Care Health and Safety Resource Center at 1-800-367-2229. 837: Emergency Medical Care (EMC) Plan At least one (1) person and one (1) alternate person shall be listed on the Emergency Medical Care Plan. When staff members change, you shall review the form to make sure that the information is up to date. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/4/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Medication, Auvi-Q will expire on September 20, 2024. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: YMCA CHARLES BELL AFTERSCHOOL Facility ID: 11000679 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 5/23/2024 Number Present: 22 Completed Date: 5/23/2024 Age: From 5 To 11 Total Minutes: 150 Time In: 02:00 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. This full monitoring visit was conducted due to the facility’s Provisional License expiring on 8/31/24. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Sora Dowty, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to Delaney Burke, Senior Operations Director. The facility is operating on a Provisional license issued 8/31/23. The provisional license will expire on 8/31/24. Lead hazards were identified during a lead investigation that was conducted on 3/7/23 and 3/28/23. According to a statement received from Clark Wyatt, Director of Maintenance for Buncombe County Schools on 2/19/24, the remediation work will be completed over the summer when children are not present in the building. A full monitoring visit is needed to reissue the star rated license upon completion of the lead remediation work. Ms. Dowty was available during today’s visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, The Young Men’s Christian Association of Western North Carolina is current/active as of 5/17/24. Permit type – Provisional License issued on 8/31/23. This license will expire on 8/31/24. Special Services/Restrictions – daytime care, school-age only, meets enhanced space, meets reduced ratios, playground area does not meet child care playground safety standards, children prohibited in the kitchen for any purpose. The last annual compliance visit was conducted on 9/21/23. The last fire drill was practiced on 5/22/24. The last lockdown drill was practiced on 2/8/24. The last fire inspection was approved on 1/22/24. The last sanitation inspection was conducted on 9/12/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and was not current. Two (2) staff members who is considered a summer employee and a staff member who is no longer employed was listed as alternates. Upon arrival, I announced my presence and the purpose of the visit. A menu and a daily schedule is posted on the bulletin board in cafeteria. Other posters, including EMC, Summary of laws, safe arrival/departure, fire inspection, sanitation inspection and emergency drill logs were posted in the gym. First Aid poster and staff/child ratios sheet were not posted in the gym or in cafeteria. Two (2) children arrived at 2:25 pm. The children engaged in free play with various materials, such as playdough, matchbox cars with tracks, games, art materials and manipulative materials. Some children read books and completed homework. The children arrived as their classroom teachers brought a group of bus riders to the front of the building. The cafeteria is located by the front entrance. Therefore, the classroom teachers dropped after school children as they headed outside. No handwashing was observed upon arrival. At 3:10 pm, the group of children lined up and went to the bathroom to wash their hands. Snacks were served during the visit. Today’s snacks were BBQ Jack Links, sunflower kernels, WG Bean and Veggies crackers, apple sauce, veggie blend juice and milk. The items were accurately listed on the menu. Some children chose to eat what they brought from home. Snacks were passed by a child. Two (2) medications are maintained. Both medications were stored appropriately, One (1) staff member’s file was monitored in full, and the other staff member’s file was monitored partially. SD’s file was monitored on 9/21/23, therefore, only the items expired were monitored. The new staff member hired on 4/29/24, was not listed on the staff and training worksheet submitted by Ms. Delaney. The staff has valid application, orientation records, criminal background letter, health questionnaire, emergency information form, medical, TB record and documentation that verified reception of operational and personnel policy. The Staff has not completed Recognizing and Responding to Suspicions of Child Maltreatment training, BSAC or CPR and First Aid training yet. ABCMS system was monitored during the visit and both staff members have current CBC letters. Playground was monitored. The playground has two (2) slide structures and graveled. No hazards were found. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ YMCA transportation monitoring is scheduled to be conducted on 6/4/24. The following violations were documented during today’s visit: Violation Number Comment Rule 102 The license was not posted in a prominent place at all times. The provisional License issued on 8/31/23 and expired on 2/29/24 was posted in the gym, but not the licensed that are expiring on 8/31/24. G.S. 110-99(a1) 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. Staff/Child Ratio poster was not posted in the cafeteria or in the gym. .0713(a)(10), (c) & (f)(3); .2818(e) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. The children did not wash their hands upon arrival. The children arrived and started playing with materials. 15A NCAC 18A .2803(c) 837 The EMC plan did not name the person responsible, and at least one alternate, for choosing and carrying out the plan of action to obtain appropriate medical care. Two ((2) alternate persons listed on the Emergency Medical Care Plan no longer works at this facility. .0802(a)(1)(A-B); Technical assistance was provided as follows: 102: Permit/License Provisional License issued on 8/31/23 shall be posted. § 110-99. Possession and display of license. (a1) Each child care facility shall display its current license in a prominent place at all times so that the public may be on notice that the facility is licensed and may observe any rating which may appear on the license. Any license issued to a child care facility under this Article shall remain the property of the State and may be removed by persons employed or designated by the Secretary in the event that the license is revoked or suspended, or in the event that the rating is changed. 319: Staff/Child Ratio poster Staff/Child Ratio sheet shall be posted in the area where the parents can see. 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (a) The staff/child ratios and group sizes for single-age groups of children in centers shall be as follows: (10) the staff/child ratio applicable to a classroom as described in this Paragraph shall be posted in that classroom in an area that parents are able to view at all times. 608: Handwashing The children shall wash their hands upon arrival, before eating, after using the bathroom. Soap and water is required before eating and after using the bathroom. You can use hand sanitizers to wash the children’s hands upon arrival. 15A NCAC 18A .2803 HANDWASHING (b) Children shall wash hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. 830: First Aid information poster First aid information shall be posted where staff members can review. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (h) A First Aid information sheet shall be posted in a place for referral. The information sheet shall include first aid guidance regarding burns, scalds, fractures, sprains, head injuries, poisons, skin wounds, stings and bites. An information sheet may be requested free of charge from the North Carolina Child Care Health and Safety Resource Center at 1-800-367-2229. 837: Emergency Medical Care (EMC) Plan At least one (1) person and one (1) alternate person shall be listed on the Emergency Medical Care Plan. When staff members change, you shall review the form to make sure that the information is up to date. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/4/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Medication, Auvi-Q will expire on September 20, 2024. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: YMCA CHARLES BELL AFTERSCHOOL Facility ID: 11000679 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 5/23/2024 Number Present: 22 Completed Date: 5/23/2024 Age: From 5 To 11 Total Minutes: 150 Time In: 02:00 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. This full monitoring visit was conducted due to the facility’s Provisional License expiring on 8/31/24. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Sora Dowty, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to Delaney Burke, Senior Operations Director. The facility is operating on a Provisional license issued 8/31/23. The provisional license will expire on 8/31/24. Lead hazards were identified during a lead investigation that was conducted on 3/7/23 and 3/28/23. According to a statement received from Clark Wyatt, Director of Maintenance for Buncombe County Schools on 2/19/24, the remediation work will be completed over the summer when children are not present in the building. A full monitoring visit is needed to reissue the star rated license upon completion of the lead remediation work. Ms. Dowty was available during today’s visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, The Young Men’s Christian Association of Western North Carolina is current/active as of 5/17/24. Permit type – Provisional License issued on 8/31/23. This license will expire on 8/31/24. Special Services/Restrictions – daytime care, school-age only, meets enhanced space, meets reduced ratios, playground area does not meet child care playground safety standards, children prohibited in the kitchen for any purpose. The last annual compliance visit was conducted on 9/21/23. The last fire drill was practiced on 5/22/24. The last lockdown drill was practiced on 2/8/24. The last fire inspection was approved on 1/22/24. The last sanitation inspection was conducted on 9/12/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and was not current. Two (2) staff members who is considered a summer employee and a staff member who is no longer employed was listed as alternates. Upon arrival, I announced my presence and the purpose of the visit. A menu and a daily schedule is posted on the bulletin board in cafeteria. Other posters, including EMC, Summary of laws, safe arrival/departure, fire inspection, sanitation inspection and emergency drill logs were posted in the gym. First Aid poster and staff/child ratios sheet were not posted in the gym or in cafeteria. Two (2) children arrived at 2:25 pm. The children engaged in free play with various materials, such as playdough, matchbox cars with tracks, games, art materials and manipulative materials. Some children read books and completed homework. The children arrived as their classroom teachers brought a group of bus riders to the front of the building. The cafeteria is located by the front entrance. Therefore, the classroom teachers dropped after school children as they headed outside. No handwashing was observed upon arrival. At 3:10 pm, the group of children lined up and went to the bathroom to wash their hands. Snacks were served during the visit. Today’s snacks were BBQ Jack Links, sunflower kernels, WG Bean and Veggies crackers, apple sauce, veggie blend juice and milk. The items were accurately listed on the menu. Some children chose to eat what they brought from home. Snacks were passed by a child. Two (2) medications are maintained. Both medications were stored appropriately, One (1) staff member’s file was monitored in full, and the other staff member’s file was monitored partially. SD’s file was monitored on 9/21/23, therefore, only the items expired were monitored. The new staff member hired on 4/29/24, was not listed on the staff and training worksheet submitted by Ms. Delaney. The staff has valid application, orientation records, criminal background letter, health questionnaire, emergency information form, medical, TB record and documentation that verified reception of operational and personnel policy. The Staff has not completed Recognizing and Responding to Suspicions of Child Maltreatment training, BSAC or CPR and First Aid training yet. ABCMS system was monitored during the visit and both staff members have current CBC letters. Playground was monitored. The playground has two (2) slide structures and graveled. No hazards were found. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ YMCA transportation monitoring is scheduled to be conducted on 6/4/24. The following violations were documented during today’s visit: Violation Number Comment Rule 102 The license was not posted in a prominent place at all times. The provisional License issued on 8/31/23 and expired on 2/29/24 was posted in the gym, but not the licensed that are expiring on 8/31/24. G.S. 110-99(a1) 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. Staff/Child Ratio poster was not posted in the cafeteria or in the gym. .0713(a)(10), (c) & (f)(3); .2818(e) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. The children did not wash their hands upon arrival. The children arrived and started playing with materials. 15A NCAC 18A .2803(c) 837 The EMC plan did not name the person responsible, and at least one alternate, for choosing and carrying out the plan of action to obtain appropriate medical care. Two ((2) alternate persons listed on the Emergency Medical Care Plan no longer works at this facility. .0802(a)(1)(A-B); Technical assistance was provided as follows: 102: Permit/License Provisional License issued on 8/31/23 shall be posted. § 110-99. Possession and display of license. (a1) Each child care facility shall display its current license in a prominent place at all times so that the public may be on notice that the facility is licensed and may observe any rating which may appear on the license. Any license issued to a child care facility under this Article shall remain the property of the State and may be removed by persons employed or designated by the Secretary in the event that the license is revoked or suspended, or in the event that the rating is changed. 319: Staff/Child Ratio poster Staff/Child Ratio sheet shall be posted in the area where the parents can see. 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (a) The staff/child ratios and group sizes for single-age groups of children in centers shall be as follows: (10) the staff/child ratio applicable to a classroom as described in this Paragraph shall be posted in that classroom in an area that parents are able to view at all times. 608: Handwashing The children shall wash their hands upon arrival, before eating, after using the bathroom. Soap and water is required before eating and after using the bathroom. You can use hand sanitizers to wash the children’s hands upon arrival. 15A NCAC 18A .2803 HANDWASHING (b) Children shall wash hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. 830: First Aid information poster First aid information shall be posted where staff members can review. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (h) A First Aid information sheet shall be posted in a place for referral. The information sheet shall include first aid guidance regarding burns, scalds, fractures, sprains, head injuries, poisons, skin wounds, stings and bites. An information sheet may be requested free of charge from the North Carolina Child Care Health and Safety Resource Center at 1-800-367-2229. 837: Emergency Medical Care (EMC) Plan At least one (1) person and one (1) alternate person shall be listed on the Emergency Medical Care Plan. When staff members change, you shall review the form to make sure that the information is up to date. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/4/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Medication, Auvi-Q will expire on September 20, 2024. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: YMCA CHARLES BELL AFTERSCHOOL Facility ID: 11000679 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 5/23/2024 Number Present: 22 Completed Date: 5/23/2024 Age: From 5 To 11 Total Minutes: 150 Time In: 02:00 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. This full monitoring visit was conducted due to the facility’s Provisional License expiring on 8/31/24. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Sora Dowty, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to Delaney Burke, Senior Operations Director. The facility is operating on a Provisional license issued 8/31/23. The provisional license will expire on 8/31/24. Lead hazards were identified during a lead investigation that was conducted on 3/7/23 and 3/28/23. According to a statement received from Clark Wyatt, Director of Maintenance for Buncombe County Schools on 2/19/24, the remediation work will be completed over the summer when children are not present in the building. A full monitoring visit is needed to reissue the star rated license upon completion of the lead remediation work. Ms. Dowty was available during today’s visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, The Young Men’s Christian Association of Western North Carolina is current/active as of 5/17/24. Permit type – Provisional License issued on 8/31/23. This license will expire on 8/31/24. Special Services/Restrictions – daytime care, school-age only, meets enhanced space, meets reduced ratios, playground area does not meet child care playground safety standards, children prohibited in the kitchen for any purpose. The last annual compliance visit was conducted on 9/21/23. The last fire drill was practiced on 5/22/24. The last lockdown drill was practiced on 2/8/24. The last fire inspection was approved on 1/22/24. The last sanitation inspection was conducted on 9/12/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and was not current. Two (2) staff members who is considered a summer employee and a staff member who is no longer employed was listed as alternates. Upon arrival, I announced my presence and the purpose of the visit. A menu and a daily schedule is posted on the bulletin board in cafeteria. Other posters, including EMC, Summary of laws, safe arrival/departure, fire inspection, sanitation inspection and emergency drill logs were posted in the gym. First Aid poster and staff/child ratios sheet were not posted in the gym or in cafeteria. Two (2) children arrived at 2:25 pm. The children engaged in free play with various materials, such as playdough, matchbox cars with tracks, games, art materials and manipulative materials. Some children read books and completed homework. The children arrived as their classroom teachers brought a group of bus riders to the front of the building. The cafeteria is located by the front entrance. Therefore, the classroom teachers dropped after school children as they headed outside. No handwashing was observed upon arrival. At 3:10 pm, the group of children lined up and went to the bathroom to wash their hands. Snacks were served during the visit. Today’s snacks were BBQ Jack Links, sunflower kernels, WG Bean and Veggies crackers, apple sauce, veggie blend juice and milk. The items were accurately listed on the menu. Some children chose to eat what they brought from home. Snacks were passed by a child. Two (2) medications are maintained. Both medications were stored appropriately, One (1) staff member’s file was monitored in full, and the other staff member’s file was monitored partially. SD’s file was monitored on 9/21/23, therefore, only the items expired were monitored. The new staff member hired on 4/29/24, was not listed on the staff and training worksheet submitted by Ms. Delaney. The staff has valid application, orientation records, criminal background letter, health questionnaire, emergency information form, medical, TB record and documentation that verified reception of operational and personnel policy. The Staff has not completed Recognizing and Responding to Suspicions of Child Maltreatment training, BSAC or CPR and First Aid training yet. ABCMS system was monitored during the visit and both staff members have current CBC letters. Playground was monitored. The playground has two (2) slide structures and graveled. No hazards were found. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ YMCA transportation monitoring is scheduled to be conducted on 6/4/24. The following violations were documented during today’s visit: Violation Number Comment Rule 102 The license was not posted in a prominent place at all times. The provisional License issued on 8/31/23 and expired on 2/29/24 was posted in the gym, but not the licensed that are expiring on 8/31/24. G.S. 110-99(a1) 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. Staff/Child Ratio poster was not posted in the cafeteria or in the gym. .0713(a)(10), (c) & (f)(3); .2818(e) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. The children did not wash their hands upon arrival. The children arrived and started playing with materials. 15A NCAC 18A .2803(c) 837 The EMC plan did not name the person responsible, and at least one alternate, for choosing and carrying out the plan of action to obtain appropriate medical care. Two ((2) alternate persons listed on the Emergency Medical Care Plan no longer works at this facility. .0802(a)(1)(A-B); Technical assistance was provided as follows: 102: Permit/License Provisional License issued on 8/31/23 shall be posted. § 110-99. Possession and display of license. (a1) Each child care facility shall display its current license in a prominent place at all times so that the public may be on notice that the facility is licensed and may observe any rating which may appear on the license. Any license issued to a child care facility under this Article shall remain the property of the State and may be removed by persons employed or designated by the Secretary in the event that the license is revoked or suspended, or in the event that the rating is changed. 319: Staff/Child Ratio poster Staff/Child Ratio sheet shall be posted in the area where the parents can see. 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (a) The staff/child ratios and group sizes for single-age groups of children in centers shall be as follows: (10) the staff/child ratio applicable to a classroom as described in this Paragraph shall be posted in that classroom in an area that parents are able to view at all times. 608: Handwashing The children shall wash their hands upon arrival, before eating, after using the bathroom. Soap and water is required before eating and after using the bathroom. You can use hand sanitizers to wash the children’s hands upon arrival. 15A NCAC 18A .2803 HANDWASHING (b) Children shall wash hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. 830: First Aid information poster First aid information shall be posted where staff members can review. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (h) A First Aid information sheet shall be posted in a place for referral. The information sheet shall include first aid guidance regarding burns, scalds, fractures, sprains, head injuries, poisons, skin wounds, stings and bites. An information sheet may be requested free of charge from the North Carolina Child Care Health and Safety Resource Center at 1-800-367-2229. 837: Emergency Medical Care (EMC) Plan At least one (1) person and one (1) alternate person shall be listed on the Emergency Medical Care Plan. When staff members change, you shall review the form to make sure that the information is up to date. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/4/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Medication, Auvi-Q will expire on September 20, 2024. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-99 · Violation

Name of Operation: YMCA CHARLES BELL AFTERSCHOOL Facility ID: 11000679 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 5/23/2024 Number Present: 22 Completed Date: 5/23/2024 Age: From 5 To 11 Total Minutes: 150 Time In: 02:00 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. This full monitoring visit was conducted due to the facility’s Provisional License expiring on 8/31/24. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Sora Dowty, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to Delaney Burke, Senior Operations Director. The facility is operating on a Provisional license issued 8/31/23. The provisional license will expire on 8/31/24. Lead hazards were identified during a lead investigation that was conducted on 3/7/23 and 3/28/23. According to a statement received from Clark Wyatt, Director of Maintenance for Buncombe County Schools on 2/19/24, the remediation work will be completed over the summer when children are not present in the building. A full monitoring visit is needed to reissue the star rated license upon completion of the lead remediation work. Ms. Dowty was available during today’s visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, The Young Men’s Christian Association of Western North Carolina is current/active as of 5/17/24. Permit type – Provisional License issued on 8/31/23. This license will expire on 8/31/24. Special Services/Restrictions – daytime care, school-age only, meets enhanced space, meets reduced ratios, playground area does not meet child care playground safety standards, children prohibited in the kitchen for any purpose. The last annual compliance visit was conducted on 9/21/23. The last fire drill was practiced on 5/22/24. The last lockdown drill was practiced on 2/8/24. The last fire inspection was approved on 1/22/24. The last sanitation inspection was conducted on 9/12/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and was not current. Two (2) staff members who is considered a summer employee and a staff member who is no longer employed was listed as alternates. Upon arrival, I announced my presence and the purpose of the visit. A menu and a daily schedule is posted on the bulletin board in cafeteria. Other posters, including EMC, Summary of laws, safe arrival/departure, fire inspection, sanitation inspection and emergency drill logs were posted in the gym. First Aid poster and staff/child ratios sheet were not posted in the gym or in cafeteria. Two (2) children arrived at 2:25 pm. The children engaged in free play with various materials, such as playdough, matchbox cars with tracks, games, art materials and manipulative materials. Some children read books and completed homework. The children arrived as their classroom teachers brought a group of bus riders to the front of the building. The cafeteria is located by the front entrance. Therefore, the classroom teachers dropped after school children as they headed outside. No handwashing was observed upon arrival. At 3:10 pm, the group of children lined up and went to the bathroom to wash their hands. Snacks were served during the visit. Today’s snacks were BBQ Jack Links, sunflower kernels, WG Bean and Veggies crackers, apple sauce, veggie blend juice and milk. The items were accurately listed on the menu. Some children chose to eat what they brought from home. Snacks were passed by a child. Two (2) medications are maintained. Both medications were stored appropriately, One (1) staff member’s file was monitored in full, and the other staff member’s file was monitored partially. SD’s file was monitored on 9/21/23, therefore, only the items expired were monitored. The new staff member hired on 4/29/24, was not listed on the staff and training worksheet submitted by Ms. Delaney. The staff has valid application, orientation records, criminal background letter, health questionnaire, emergency information form, medical, TB record and documentation that verified reception of operational and personnel policy. The Staff has not completed Recognizing and Responding to Suspicions of Child Maltreatment training, BSAC or CPR and First Aid training yet. ABCMS system was monitored during the visit and both staff members have current CBC letters. Playground was monitored. The playground has two (2) slide structures and graveled. No hazards were found. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ YMCA transportation monitoring is scheduled to be conducted on 6/4/24. The following violations were documented during today’s visit: Violation Number Comment Rule 102 The license was not posted in a prominent place at all times. The provisional License issued on 8/31/23 and expired on 2/29/24 was posted in the gym, but not the licensed that are expiring on 8/31/24. G.S. 110-99(a1) 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. Staff/Child Ratio poster was not posted in the cafeteria or in the gym. .0713(a)(10), (c) & (f)(3); .2818(e) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. The children did not wash their hands upon arrival. The children arrived and started playing with materials. 15A NCAC 18A .2803(c) 837 The EMC plan did not name the person responsible, and at least one alternate, for choosing and carrying out the plan of action to obtain appropriate medical care. Two ((2) alternate persons listed on the Emergency Medical Care Plan no longer works at this facility. .0802(a)(1)(A-B); Technical assistance was provided as follows: 102: Permit/License Provisional License issued on 8/31/23 shall be posted. § 110-99. Possession and display of license. (a1) Each child care facility shall display its current license in a prominent place at all times so that the public may be on notice that the facility is licensed and may observe any rating which may appear on the license. Any license issued to a child care facility under this Article shall remain the property of the State and may be removed by persons employed or designated by the Secretary in the event that the license is revoked or suspended, or in the event that the rating is changed. 319: Staff/Child Ratio poster Staff/Child Ratio sheet shall be posted in the area where the parents can see. 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (a) The staff/child ratios and group sizes for single-age groups of children in centers shall be as follows: (10) the staff/child ratio applicable to a classroom as described in this Paragraph shall be posted in that classroom in an area that parents are able to view at all times. 608: Handwashing The children shall wash their hands upon arrival, before eating, after using the bathroom. Soap and water is required before eating and after using the bathroom. You can use hand sanitizers to wash the children’s hands upon arrival. 15A NCAC 18A .2803 HANDWASHING (b) Children shall wash hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. 830: First Aid information poster First aid information shall be posted where staff members can review. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (h) A First Aid information sheet shall be posted in a place for referral. The information sheet shall include first aid guidance regarding burns, scalds, fractures, sprains, head injuries, poisons, skin wounds, stings and bites. An information sheet may be requested free of charge from the North Carolina Child Care Health and Safety Resource Center at 1-800-367-2229. 837: Emergency Medical Care (EMC) Plan At least one (1) person and one (1) alternate person shall be listed on the Emergency Medical Care Plan. When staff members change, you shall review the form to make sure that the information is up to date. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/4/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Medication, Auvi-Q will expire on September 20, 2024. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: YMCA CHARLES BELL AFTERSCHOOL Facility ID: 11000679 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 5/23/2024 Number Present: 22 Completed Date: 5/23/2024 Age: From 5 To 11 Total Minutes: 150 Time In: 02:00 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. This full monitoring visit was conducted due to the facility’s Provisional License expiring on 8/31/24. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Sora Dowty, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to Delaney Burke, Senior Operations Director. The facility is operating on a Provisional license issued 8/31/23. The provisional license will expire on 8/31/24. Lead hazards were identified during a lead investigation that was conducted on 3/7/23 and 3/28/23. According to a statement received from Clark Wyatt, Director of Maintenance for Buncombe County Schools on 2/19/24, the remediation work will be completed over the summer when children are not present in the building. A full monitoring visit is needed to reissue the star rated license upon completion of the lead remediation work. Ms. Dowty was available during today’s visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, The Young Men’s Christian Association of Western North Carolina is current/active as of 5/17/24. Permit type – Provisional License issued on 8/31/23. This license will expire on 8/31/24. Special Services/Restrictions – daytime care, school-age only, meets enhanced space, meets reduced ratios, playground area does not meet child care playground safety standards, children prohibited in the kitchen for any purpose. The last annual compliance visit was conducted on 9/21/23. The last fire drill was practiced on 5/22/24. The last lockdown drill was practiced on 2/8/24. The last fire inspection was approved on 1/22/24. The last sanitation inspection was conducted on 9/12/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and was not current. Two (2) staff members who is considered a summer employee and a staff member who is no longer employed was listed as alternates. Upon arrival, I announced my presence and the purpose of the visit. A menu and a daily schedule is posted on the bulletin board in cafeteria. Other posters, including EMC, Summary of laws, safe arrival/departure, fire inspection, sanitation inspection and emergency drill logs were posted in the gym. First Aid poster and staff/child ratios sheet were not posted in the gym or in cafeteria. Two (2) children arrived at 2:25 pm. The children engaged in free play with various materials, such as playdough, matchbox cars with tracks, games, art materials and manipulative materials. Some children read books and completed homework. The children arrived as their classroom teachers brought a group of bus riders to the front of the building. The cafeteria is located by the front entrance. Therefore, the classroom teachers dropped after school children as they headed outside. No handwashing was observed upon arrival. At 3:10 pm, the group of children lined up and went to the bathroom to wash their hands. Snacks were served during the visit. Today’s snacks were BBQ Jack Links, sunflower kernels, WG Bean and Veggies crackers, apple sauce, veggie blend juice and milk. The items were accurately listed on the menu. Some children chose to eat what they brought from home. Snacks were passed by a child. Two (2) medications are maintained. Both medications were stored appropriately, One (1) staff member’s file was monitored in full, and the other staff member’s file was monitored partially. SD’s file was monitored on 9/21/23, therefore, only the items expired were monitored. The new staff member hired on 4/29/24, was not listed on the staff and training worksheet submitted by Ms. Delaney. The staff has valid application, orientation records, criminal background letter, health questionnaire, emergency information form, medical, TB record and documentation that verified reception of operational and personnel policy. The Staff has not completed Recognizing and Responding to Suspicions of Child Maltreatment training, BSAC or CPR and First Aid training yet. ABCMS system was monitored during the visit and both staff members have current CBC letters. Playground was monitored. The playground has two (2) slide structures and graveled. No hazards were found. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ YMCA transportation monitoring is scheduled to be conducted on 6/4/24. The following violations were documented during today’s visit: Violation Number Comment Rule 102 The license was not posted in a prominent place at all times. The provisional License issued on 8/31/23 and expired on 2/29/24 was posted in the gym, but not the licensed that are expiring on 8/31/24. G.S. 110-99(a1) 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. Staff/Child Ratio poster was not posted in the cafeteria or in the gym. .0713(a)(10), (c) & (f)(3); .2818(e) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. The children did not wash their hands upon arrival. The children arrived and started playing with materials. 15A NCAC 18A .2803(c) 837 The EMC plan did not name the person responsible, and at least one alternate, for choosing and carrying out the plan of action to obtain appropriate medical care. Two ((2) alternate persons listed on the Emergency Medical Care Plan no longer works at this facility. .0802(a)(1)(A-B); Technical assistance was provided as follows: 102: Permit/License Provisional License issued on 8/31/23 shall be posted. § 110-99. Possession and display of license. (a1) Each child care facility shall display its current license in a prominent place at all times so that the public may be on notice that the facility is licensed and may observe any rating which may appear on the license. Any license issued to a child care facility under this Article shall remain the property of the State and may be removed by persons employed or designated by the Secretary in the event that the license is revoked or suspended, or in the event that the rating is changed. 319: Staff/Child Ratio poster Staff/Child Ratio sheet shall be posted in the area where the parents can see. 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (a) The staff/child ratios and group sizes for single-age groups of children in centers shall be as follows: (10) the staff/child ratio applicable to a classroom as described in this Paragraph shall be posted in that classroom in an area that parents are able to view at all times. 608: Handwashing The children shall wash their hands upon arrival, before eating, after using the bathroom. Soap and water is required before eating and after using the bathroom. You can use hand sanitizers to wash the children’s hands upon arrival. 15A NCAC 18A .2803 HANDWASHING (b) Children shall wash hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. 830: First Aid information poster First aid information shall be posted where staff members can review. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (h) A First Aid information sheet shall be posted in a place for referral. The information sheet shall include first aid guidance regarding burns, scalds, fractures, sprains, head injuries, poisons, skin wounds, stings and bites. An information sheet may be requested free of charge from the North Carolina Child Care Health and Safety Resource Center at 1-800-367-2229. 837: Emergency Medical Care (EMC) Plan At least one (1) person and one (1) alternate person shall be listed on the Emergency Medical Care Plan. When staff members change, you shall review the form to make sure that the information is up to date. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/4/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Medication, Auvi-Q will expire on September 20, 2024. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2508 · Violation

Name of Operation: YMCA CHARLES BELL AFTERSCHOOL Facility ID: 11000679 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 3/20/2024 Number Present: 21 Completed Date: 3/20/2024 Age: From 5 To 10 Total Minutes: 150 Time In: 02:00 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Sora Dowty, Program Coordinator, during the visit. An electronic signed copy of the visit summary was emailed to you. S. Dowty was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two percent (92%) as of 3/20/24. The last fire drill was practiced on 2/29/24. The last emergency drill, lockdown drill, was practiced on 2/8/24. The last fire inspection was approved on 1/22/24. The program’s most recent sanitation inspection was completed on 9/12/23, with six (6) demerits for a superior rating. The Emergency Medical Care Plan was posted and current. The Administrative Action issued 8/31/23, was posted in an area visible to parents. There is one (1) new staff. One (1) new staff file was monitored today. Upon arrival I was greeted by S. Dowty. As a special event, children brought in electric toys for a fundraiser. Children shared their remote controlled cars and robotic puppets with peers and caregivers. Children also played board games with caregivers, built small structures with magnatiles, connected wooden rods with wooden screws and tools, engaged in pretend play with dolls and animal figurines, engaged in free drawing with various art materials including paper, markers, pencils and scissors. Children cleaned up and washed hands in the hallway bathroom for snack, under the supervision of caregivers. Snack today consisted of sunflower kernels, tortilla with jelly, applesauce, vegetable juice, and milk. Interactions were positive and nurturing. Supervision was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were cited during the visit today: Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. One (1) bottle of guanfacine was not maintained in locked storage. 15A NCAC 18A .2820(d) Technical Assistance provided as follows: Item #841 Plan to maintain the guanfacine for the one (1) child in group 1 in locked storage. You can lock the zippers of a fanny pack or backpack to satisfy this requirement, or use another type of locked container in the backpack. As a reminder, locked storage includes keys, combination, magnetic, or electronic locks. This medication is required to be locked as it is not considered emergency medication. 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/3/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall P.O. Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Screen time must be logged for children using laptops for any occasion. A copy of the screen time log was provided to you in the email containing this Visit Summary. Please see the rule reference below for details regarding this requirement: 10A NCAC 09 .2508 AGE APPROPRIATE ACTIVITIES (e) When screen time is provided on any electronic device with a visual display, it shall be: (1) offered as a free choice activity; (2) used to meet a developmental goal; (3) limited to a maximum of 30 minutes per day and no more than two and a half hours per week, per child; (4) documented on a cumulative log or activity plan, available for review by a representative of the Division; and (5) usage time periods may be extended for school assigned homework. Plan to update the Emergency Medical Care plan to include new staff. Your facility has been placed in cohort 2. Your prep year will be 7/1/24-6/30/25. Your reassessment year will be 7/1/25-6/30/26. Please visit ncrlap.org to learn more about ways to prepare for the Environment Rating Scale assessments. We discussed the importance of ensuring all staff have their education evaluated by WORKS. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: YMCA CHARLES BELL AFTERSCHOOL Facility ID: 11000679 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 3/20/2024 Number Present: 21 Completed Date: 3/20/2024 Age: From 5 To 10 Total Minutes: 150 Time In: 02:00 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Sora Dowty, Program Coordinator, during the visit. An electronic signed copy of the visit summary was emailed to you. S. Dowty was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two percent (92%) as of 3/20/24. The last fire drill was practiced on 2/29/24. The last emergency drill, lockdown drill, was practiced on 2/8/24. The last fire inspection was approved on 1/22/24. The program’s most recent sanitation inspection was completed on 9/12/23, with six (6) demerits for a superior rating. The Emergency Medical Care Plan was posted and current. The Administrative Action issued 8/31/23, was posted in an area visible to parents. There is one (1) new staff. One (1) new staff file was monitored today. Upon arrival I was greeted by S. Dowty. As a special event, children brought in electric toys for a fundraiser. Children shared their remote controlled cars and robotic puppets with peers and caregivers. Children also played board games with caregivers, built small structures with magnatiles, connected wooden rods with wooden screws and tools, engaged in pretend play with dolls and animal figurines, engaged in free drawing with various art materials including paper, markers, pencils and scissors. Children cleaned up and washed hands in the hallway bathroom for snack, under the supervision of caregivers. Snack today consisted of sunflower kernels, tortilla with jelly, applesauce, vegetable juice, and milk. Interactions were positive and nurturing. Supervision was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were cited during the visit today: Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. One (1) bottle of guanfacine was not maintained in locked storage. 15A NCAC 18A .2820(d) Technical Assistance provided as follows: Item #841 Plan to maintain the guanfacine for the one (1) child in group 1 in locked storage. You can lock the zippers of a fanny pack or backpack to satisfy this requirement, or use another type of locked container in the backpack. As a reminder, locked storage includes keys, combination, magnetic, or electronic locks. This medication is required to be locked as it is not considered emergency medication. 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/3/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall P.O. Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Screen time must be logged for children using laptops for any occasion. A copy of the screen time log was provided to you in the email containing this Visit Summary. Please see the rule reference below for details regarding this requirement: 10A NCAC 09 .2508 AGE APPROPRIATE ACTIVITIES (e) When screen time is provided on any electronic device with a visual display, it shall be: (1) offered as a free choice activity; (2) used to meet a developmental goal; (3) limited to a maximum of 30 minutes per day and no more than two and a half hours per week, per child; (4) documented on a cumulative log or activity plan, available for review by a representative of the Division; and (5) usage time periods may be extended for school assigned homework. Plan to update the Emergency Medical Care plan to include new staff. Your facility has been placed in cohort 2. Your prep year will be 7/1/24-6/30/25. Your reassessment year will be 7/1/25-6/30/26. Please visit ncrlap.org to learn more about ways to prepare for the Environment Rating Scale assessments. We discussed the importance of ensuring all staff have their education evaluated by WORKS. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: YMCA CHARLES BELL AFTERSCHOOL Facility ID: 11000679 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 9/21/2023 Number Present: 19 Completed Date: 9/21/2023 Age: From 5 To 10 Total Minutes: 180 Time In: 02:00 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Sora Dowty, Program Coordinator, during the visit. An electronic signed copy of the visit summary was emailed to you. S. Dowty was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one percent (91%) as of 9/21/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, The Young Men’s Christian Association of Western North Carolina, Inc., is current/active as of 9/21/23. Permit type – Provisional License issued 8/31/23 valid through 2/29/24. The Provisional License is due to Lead. Special Services/Restrictions – 1st shift (daytime care), school age only, meets enhanced space, meets reduced ratios, Playground area does not meet Child Care playground safety standards, children prohibited in kitchen for any purpose. This facility is approved to provide transportation. The last annual compliance visit was conducted on 10/12/22. The last fire drill was practiced on 8/31/23. The last shelter-in-place drill was practiced on 8/30/23. The last fire inspection was approved on 1/25/23. The last sanitation inspection was conducted on 9/12/23 with six (6) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The center’s Emergency Preparedness and Response Plan was updated 8/18/22. Upon arrival, I was greeted by S. Dowty and Ren Carson, Group Leader. As children arrived, they selected independent activities that included cutting and coloring, Magnatiles, board games, and dolls with miniature furniture and accessories. Snack today consisted of milk, sunflower kernels, jerky, applesauce, bean and veggie crackers, and vegetable juice blend. Interactions were positive and nurturing. I observed teachers giving gentle redirection when needed. Children were actively supervised at all times. There are twenty-four (24) children enrolled. Three (3) children’s files were monitored today. There are three (3) staff. One (1) staff file was monitored today. There are no new staff. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program is approved to provide transportation. Bus monitoring for all YMCA sites was conducted on 4/27/23 by Kaoru Eddins, Child Care Consultant. Currently no children are being transported at this facility. The following violations were documented during today’s visit: Violation Number Comment Rule 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. A First Aid sheet was not posted for reference. .0802(h) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR plan on site was dated 8/19/22. .0607(e) Technical assistance was provided as follows: Item #1824 Plan to obtain an updated copy of the Emergency Preparedness and Response plan. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. Item #830 Plan to obtain and post a First Aid poster. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (h) A First Aid information sheet shall be posted in a place for referral. The information sheet shall include first aid guidance regarding burns, scalds, fractures, sprains, head injuries, poisons, skin wounds, stings and bites. An information sheet may be requested free of charge from the North Carolina Child Care Health and Safety Resource Center at 1-800-367-2229. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/5/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall P.O. Box 19531 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Plan to conduct a fire drill by 9/30/23. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Your facility has been placed in cohort 2. Your prep year is 7/1/24- 6/30/25. Your reassessment year is 7/1/25-6/30/24. Please visit ncrlap.org to learn more about Outreach Assessment and Prep Year opportunities. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0607 · Violation

Name of Operation: YMCA CHARLES BELL AFTERSCHOOL Facility ID: 11000679 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 9/21/2023 Number Present: 19 Completed Date: 9/21/2023 Age: From 5 To 10 Total Minutes: 180 Time In: 02:00 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Sora Dowty, Program Coordinator, during the visit. An electronic signed copy of the visit summary was emailed to you. S. Dowty was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one percent (91%) as of 9/21/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, The Young Men’s Christian Association of Western North Carolina, Inc., is current/active as of 9/21/23. Permit type – Provisional License issued 8/31/23 valid through 2/29/24. The Provisional License is due to Lead. Special Services/Restrictions – 1st shift (daytime care), school age only, meets enhanced space, meets reduced ratios, Playground area does not meet Child Care playground safety standards, children prohibited in kitchen for any purpose. This facility is approved to provide transportation. The last annual compliance visit was conducted on 10/12/22. The last fire drill was practiced on 8/31/23. The last shelter-in-place drill was practiced on 8/30/23. The last fire inspection was approved on 1/25/23. The last sanitation inspection was conducted on 9/12/23 with six (6) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The center’s Emergency Preparedness and Response Plan was updated 8/18/22. Upon arrival, I was greeted by S. Dowty and Ren Carson, Group Leader. As children arrived, they selected independent activities that included cutting and coloring, Magnatiles, board games, and dolls with miniature furniture and accessories. Snack today consisted of milk, sunflower kernels, jerky, applesauce, bean and veggie crackers, and vegetable juice blend. Interactions were positive and nurturing. I observed teachers giving gentle redirection when needed. Children were actively supervised at all times. There are twenty-four (24) children enrolled. Three (3) children’s files were monitored today. There are three (3) staff. One (1) staff file was monitored today. There are no new staff. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program is approved to provide transportation. Bus monitoring for all YMCA sites was conducted on 4/27/23 by Kaoru Eddins, Child Care Consultant. Currently no children are being transported at this facility. The following violations were documented during today’s visit: Violation Number Comment Rule 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. A First Aid sheet was not posted for reference. .0802(h) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR plan on site was dated 8/19/22. .0607(e) Technical assistance was provided as follows: Item #1824 Plan to obtain an updated copy of the Emergency Preparedness and Response plan. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. Item #830 Plan to obtain and post a First Aid poster. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (h) A First Aid information sheet shall be posted in a place for referral. The information sheet shall include first aid guidance regarding burns, scalds, fractures, sprains, head injuries, poisons, skin wounds, stings and bites. An information sheet may be requested free of charge from the North Carolina Child Care Health and Safety Resource Center at 1-800-367-2229. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/5/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall P.O. Box 19531 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Plan to conduct a fire drill by 9/30/23. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Your facility has been placed in cohort 2. Your prep year is 7/1/24- 6/30/25. Your reassessment year is 7/1/25-6/30/24. Please visit ncrlap.org to learn more about Outreach Assessment and Prep Year opportunities. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0802 · Violation

Name of Operation: YMCA CHARLES BELL AFTERSCHOOL Facility ID: 11000679 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 9/21/2023 Number Present: 19 Completed Date: 9/21/2023 Age: From 5 To 10 Total Minutes: 180 Time In: 02:00 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Sora Dowty, Program Coordinator, during the visit. An electronic signed copy of the visit summary was emailed to you. S. Dowty was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one percent (91%) as of 9/21/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, The Young Men’s Christian Association of Western North Carolina, Inc., is current/active as of 9/21/23. Permit type – Provisional License issued 8/31/23 valid through 2/29/24. The Provisional License is due to Lead. Special Services/Restrictions – 1st shift (daytime care), school age only, meets enhanced space, meets reduced ratios, Playground area does not meet Child Care playground safety standards, children prohibited in kitchen for any purpose. This facility is approved to provide transportation. The last annual compliance visit was conducted on 10/12/22. The last fire drill was practiced on 8/31/23. The last shelter-in-place drill was practiced on 8/30/23. The last fire inspection was approved on 1/25/23. The last sanitation inspection was conducted on 9/12/23 with six (6) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The center’s Emergency Preparedness and Response Plan was updated 8/18/22. Upon arrival, I was greeted by S. Dowty and Ren Carson, Group Leader. As children arrived, they selected independent activities that included cutting and coloring, Magnatiles, board games, and dolls with miniature furniture and accessories. Snack today consisted of milk, sunflower kernels, jerky, applesauce, bean and veggie crackers, and vegetable juice blend. Interactions were positive and nurturing. I observed teachers giving gentle redirection when needed. Children were actively supervised at all times. There are twenty-four (24) children enrolled. Three (3) children’s files were monitored today. There are three (3) staff. One (1) staff file was monitored today. There are no new staff. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program is approved to provide transportation. Bus monitoring for all YMCA sites was conducted on 4/27/23 by Kaoru Eddins, Child Care Consultant. Currently no children are being transported at this facility. The following violations were documented during today’s visit: Violation Number Comment Rule 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. A First Aid sheet was not posted for reference. .0802(h) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR plan on site was dated 8/19/22. .0607(e) Technical assistance was provided as follows: Item #1824 Plan to obtain an updated copy of the Emergency Preparedness and Response plan. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. Item #830 Plan to obtain and post a First Aid poster. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (h) A First Aid information sheet shall be posted in a place for referral. The information sheet shall include first aid guidance regarding burns, scalds, fractures, sprains, head injuries, poisons, skin wounds, stings and bites. An information sheet may be requested free of charge from the North Carolina Child Care Health and Safety Resource Center at 1-800-367-2229. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/5/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall P.O. Box 19531 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Plan to conduct a fire drill by 9/30/23. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Your facility has been placed in cohort 2. Your prep year is 7/1/24- 6/30/25. Your reassessment year is 7/1/25-6/30/24. Please visit ncrlap.org to learn more about Outreach Assessment and Prep Year opportunities. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: YMCA CHARLES BELL AFTERSCHOOL Facility ID: 11000679 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 9/21/2023 Number Present: 19 Completed Date: 9/21/2023 Age: From 5 To 10 Total Minutes: 180 Time In: 02:00 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Sora Dowty, Program Coordinator, during the visit. An electronic signed copy of the visit summary was emailed to you. S. Dowty was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one percent (91%) as of 9/21/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, The Young Men’s Christian Association of Western North Carolina, Inc., is current/active as of 9/21/23. Permit type – Provisional License issued 8/31/23 valid through 2/29/24. The Provisional License is due to Lead. Special Services/Restrictions – 1st shift (daytime care), school age only, meets enhanced space, meets reduced ratios, Playground area does not meet Child Care playground safety standards, children prohibited in kitchen for any purpose. This facility is approved to provide transportation. The last annual compliance visit was conducted on 10/12/22. The last fire drill was practiced on 8/31/23. The last shelter-in-place drill was practiced on 8/30/23. The last fire inspection was approved on 1/25/23. The last sanitation inspection was conducted on 9/12/23 with six (6) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The center’s Emergency Preparedness and Response Plan was updated 8/18/22. Upon arrival, I was greeted by S. Dowty and Ren Carson, Group Leader. As children arrived, they selected independent activities that included cutting and coloring, Magnatiles, board games, and dolls with miniature furniture and accessories. Snack today consisted of milk, sunflower kernels, jerky, applesauce, bean and veggie crackers, and vegetable juice blend. Interactions were positive and nurturing. I observed teachers giving gentle redirection when needed. Children were actively supervised at all times. There are twenty-four (24) children enrolled. Three (3) children’s files were monitored today. There are three (3) staff. One (1) staff file was monitored today. There are no new staff. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program is approved to provide transportation. Bus monitoring for all YMCA sites was conducted on 4/27/23 by Kaoru Eddins, Child Care Consultant. Currently no children are being transported at this facility. The following violations were documented during today’s visit: Violation Number Comment Rule 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. A First Aid sheet was not posted for reference. .0802(h) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR plan on site was dated 8/19/22. .0607(e) Technical assistance was provided as follows: Item #1824 Plan to obtain an updated copy of the Emergency Preparedness and Response plan. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. Item #830 Plan to obtain and post a First Aid poster. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (h) A First Aid information sheet shall be posted in a place for referral. The information sheet shall include first aid guidance regarding burns, scalds, fractures, sprains, head injuries, poisons, skin wounds, stings and bites. An information sheet may be requested free of charge from the North Carolina Child Care Health and Safety Resource Center at 1-800-367-2229. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/5/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall P.O. Box 19531 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Plan to conduct a fire drill by 9/30/23. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Your facility has been placed in cohort 2. Your prep year is 7/1/24- 6/30/25. Your reassessment year is 7/1/25-6/30/24. Please visit ncrlap.org to learn more about Outreach Assessment and Prep Year opportunities. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: YMCA CHARLES BELL AFTERSCHOOL Facility ID: 11000679 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 9/21/2023 Number Present: 19 Completed Date: 9/21/2023 Age: From 5 To 10 Total Minutes: 180 Time In: 02:00 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Sora Dowty, Program Coordinator, during the visit. An electronic signed copy of the visit summary was emailed to you. S. Dowty was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one percent (91%) as of 9/21/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, The Young Men’s Christian Association of Western North Carolina, Inc., is current/active as of 9/21/23. Permit type – Provisional License issued 8/31/23 valid through 2/29/24. The Provisional License is due to Lead. Special Services/Restrictions – 1st shift (daytime care), school age only, meets enhanced space, meets reduced ratios, Playground area does not meet Child Care playground safety standards, children prohibited in kitchen for any purpose. This facility is approved to provide transportation. The last annual compliance visit was conducted on 10/12/22. The last fire drill was practiced on 8/31/23. The last shelter-in-place drill was practiced on 8/30/23. The last fire inspection was approved on 1/25/23. The last sanitation inspection was conducted on 9/12/23 with six (6) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The center’s Emergency Preparedness and Response Plan was updated 8/18/22. Upon arrival, I was greeted by S. Dowty and Ren Carson, Group Leader. As children arrived, they selected independent activities that included cutting and coloring, Magnatiles, board games, and dolls with miniature furniture and accessories. Snack today consisted of milk, sunflower kernels, jerky, applesauce, bean and veggie crackers, and vegetable juice blend. Interactions were positive and nurturing. I observed teachers giving gentle redirection when needed. Children were actively supervised at all times. There are twenty-four (24) children enrolled. Three (3) children’s files were monitored today. There are three (3) staff. One (1) staff file was monitored today. There are no new staff. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program is approved to provide transportation. Bus monitoring for all YMCA sites was conducted on 4/27/23 by Kaoru Eddins, Child Care Consultant. Currently no children are being transported at this facility. The following violations were documented during today’s visit: Violation Number Comment Rule 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. A First Aid sheet was not posted for reference. .0802(h) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR plan on site was dated 8/19/22. .0607(e) Technical assistance was provided as follows: Item #1824 Plan to obtain an updated copy of the Emergency Preparedness and Response plan. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. Item #830 Plan to obtain and post a First Aid poster. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (h) A First Aid information sheet shall be posted in a place for referral. The information sheet shall include first aid guidance regarding burns, scalds, fractures, sprains, head injuries, poisons, skin wounds, stings and bites. An information sheet may be requested free of charge from the North Carolina Child Care Health and Safety Resource Center at 1-800-367-2229. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/5/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall P.O. Box 19531 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Plan to conduct a fire drill by 9/30/23. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Your facility has been placed in cohort 2. Your prep year is 7/1/24- 6/30/25. Your reassessment year is 7/1/25-6/30/24. Please visit ncrlap.org to learn more about Outreach Assessment and Prep Year opportunities. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: YMCA CHARLES BELL AFTERSCHOOL Facility ID: 11000679 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 9/21/2023 Number Present: 19 Completed Date: 9/21/2023 Age: From 5 To 10 Total Minutes: 180 Time In: 02:00 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Sora Dowty, Program Coordinator, during the visit. An electronic signed copy of the visit summary was emailed to you. S. Dowty was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one percent (91%) as of 9/21/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, The Young Men’s Christian Association of Western North Carolina, Inc., is current/active as of 9/21/23. Permit type – Provisional License issued 8/31/23 valid through 2/29/24. The Provisional License is due to Lead. Special Services/Restrictions – 1st shift (daytime care), school age only, meets enhanced space, meets reduced ratios, Playground area does not meet Child Care playground safety standards, children prohibited in kitchen for any purpose. This facility is approved to provide transportation. The last annual compliance visit was conducted on 10/12/22. The last fire drill was practiced on 8/31/23. The last shelter-in-place drill was practiced on 8/30/23. The last fire inspection was approved on 1/25/23. The last sanitation inspection was conducted on 9/12/23 with six (6) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The center’s Emergency Preparedness and Response Plan was updated 8/18/22. Upon arrival, I was greeted by S. Dowty and Ren Carson, Group Leader. As children arrived, they selected independent activities that included cutting and coloring, Magnatiles, board games, and dolls with miniature furniture and accessories. Snack today consisted of milk, sunflower kernels, jerky, applesauce, bean and veggie crackers, and vegetable juice blend. Interactions were positive and nurturing. I observed teachers giving gentle redirection when needed. Children were actively supervised at all times. There are twenty-four (24) children enrolled. Three (3) children’s files were monitored today. There are three (3) staff. One (1) staff file was monitored today. There are no new staff. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program is approved to provide transportation. Bus monitoring for all YMCA sites was conducted on 4/27/23 by Kaoru Eddins, Child Care Consultant. Currently no children are being transported at this facility. The following violations were documented during today’s visit: Violation Number Comment Rule 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. A First Aid sheet was not posted for reference. .0802(h) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR plan on site was dated 8/19/22. .0607(e) Technical assistance was provided as follows: Item #1824 Plan to obtain an updated copy of the Emergency Preparedness and Response plan. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. Item #830 Plan to obtain and post a First Aid poster. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (h) A First Aid information sheet shall be posted in a place for referral. The information sheet shall include first aid guidance regarding burns, scalds, fractures, sprains, head injuries, poisons, skin wounds, stings and bites. An information sheet may be requested free of charge from the North Carolina Child Care Health and Safety Resource Center at 1-800-367-2229. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/5/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall P.O. Box 19531 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Plan to conduct a fire drill by 9/30/23. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Your facility has been placed in cohort 2. Your prep year is 7/1/24- 6/30/25. Your reassessment year is 7/1/25-6/30/24. Please visit ncrlap.org to learn more about Outreach Assessment and Prep Year opportunities. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: YMCA CHARLES BELL AFTERSCHOOL Facility ID: 11000679 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 9/21/2023 Number Present: 19 Completed Date: 9/21/2023 Age: From 5 To 10 Total Minutes: 180 Time In: 02:00 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Sora Dowty, Program Coordinator, during the visit. An electronic signed copy of the visit summary was emailed to you. S. Dowty was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one percent (91%) as of 9/21/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, The Young Men’s Christian Association of Western North Carolina, Inc., is current/active as of 9/21/23. Permit type – Provisional License issued 8/31/23 valid through 2/29/24. The Provisional License is due to Lead. Special Services/Restrictions – 1st shift (daytime care), school age only, meets enhanced space, meets reduced ratios, Playground area does not meet Child Care playground safety standards, children prohibited in kitchen for any purpose. This facility is approved to provide transportation. The last annual compliance visit was conducted on 10/12/22. The last fire drill was practiced on 8/31/23. The last shelter-in-place drill was practiced on 8/30/23. The last fire inspection was approved on 1/25/23. The last sanitation inspection was conducted on 9/12/23 with six (6) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The center’s Emergency Preparedness and Response Plan was updated 8/18/22. Upon arrival, I was greeted by S. Dowty and Ren Carson, Group Leader. As children arrived, they selected independent activities that included cutting and coloring, Magnatiles, board games, and dolls with miniature furniture and accessories. Snack today consisted of milk, sunflower kernels, jerky, applesauce, bean and veggie crackers, and vegetable juice blend. Interactions were positive and nurturing. I observed teachers giving gentle redirection when needed. Children were actively supervised at all times. There are twenty-four (24) children enrolled. Three (3) children’s files were monitored today. There are three (3) staff. One (1) staff file was monitored today. There are no new staff. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program is approved to provide transportation. Bus monitoring for all YMCA sites was conducted on 4/27/23 by Kaoru Eddins, Child Care Consultant. Currently no children are being transported at this facility. The following violations were documented during today’s visit: Violation Number Comment Rule 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. A First Aid sheet was not posted for reference. .0802(h) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR plan on site was dated 8/19/22. .0607(e) Technical assistance was provided as follows: Item #1824 Plan to obtain an updated copy of the Emergency Preparedness and Response plan. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. Item #830 Plan to obtain and post a First Aid poster. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (h) A First Aid information sheet shall be posted in a place for referral. The information sheet shall include first aid guidance regarding burns, scalds, fractures, sprains, head injuries, poisons, skin wounds, stings and bites. An information sheet may be requested free of charge from the North Carolina Child Care Health and Safety Resource Center at 1-800-367-2229. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/5/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall P.O. Box 19531 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Plan to conduct a fire drill by 9/30/23. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Your facility has been placed in cohort 2. Your prep year is 7/1/24- 6/30/25. Your reassessment year is 7/1/25-6/30/24. Please visit ncrlap.org to learn more about Outreach Assessment and Prep Year opportunities. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times